Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAIN CLINIC OF NORTH CAROLINA, PA

NPI: 1538682216 · HUNTERSVILLE, NC 28078 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/25/2017

$4.02M
Total Medicaid Paid
84,421
Total Claims
58,325
Beneficiaries
20
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRAY, LEE (PHYSICIAN OWNER)
NPI Enumeration Date07/25/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,911 $185K
2019 16,375 $836K
2020 14,902 $838K
2021 13,606 $629K
2022 13,631 $613K
2023 11,076 $477K
2024 9,920 $446K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,183 18,612 $1.57M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,329 26,692 $1.20M
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 4,686 3,919 $617K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,383 4,571 $415K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 934 748 $82K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 561 463 $35K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 204 174 $33K
96132 617 562 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 189 142 $15K
96138 837 744 $13K
99406 812 577 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 319 258 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 32 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 83 56 $779.36
36415 Collection of venous blood by venipuncture 437 304 $590.37
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23 14 $186.58
80305 13 12 $150.38
J1885 Injection, ketorolac tromethamine, per 15 mg 17 13 $9.86
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 730 418 $0.00
90756 23 14 $0.00