Medicaid Provider Spending

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

CAPITOL PAIN INSTITUTE, PA

NPI: 1548303985 · AUSTIN, TX 78757 · Orthopaedic Surgery Physician · NPI assigned 02/15/2007

$2.48M
Total Medicaid Paid
72,677
Total Claims
61,663
Beneficiaries
26
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHOCKET, SANDFORD (DIRECTOR)
NPI Enumeration Date02/15/2007

Related Entities

Other providers sharing the same authorized official: SCHOCKET, SANDFORD

ProviderCityStateTotal Paid
NURA PLLC MINNEAPOLIS MN $13.79M
NURA PLLC COON RAPIDS MN $6.24M
NURA SURGICAL CENTER LLC EDINA MN $582K
MATTHEW F MCCARTY MD PLLC AUSTIN TX $242K
PAIN AND AGING MANAGEMENT LLC COLUMBUS IN $139K
SPRINGS REHABILITATION FOUNDER HOLDINGS, PC COLORADO SPRINGS CO $120K
CENTER FOR SPECIALTY SURGERY OF AUSTIN, LLC AUSTIN TX $0.00
WATER LEAF SURGERY CENTER, LTD AUSTIN TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,572 $25K
2019 9,204 $277K
2020 8,051 $217K
2021 10,571 $300K
2022 14,558 $490K
2023 15,887 $614K
2024 12,834 $557K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,373 29,072 $1.30M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,075 9,022 $367K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,655 11,283 $270K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,935 2,495 $203K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 1,537 1,260 $109K
99443 1,790 1,511 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 883 773 $40K
64493 466 416 $36K
62323 224 176 $24K
64494 449 395 $17K
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 598 518 $14K
64483 52 51 $6K
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 450 288 $6K
20610 167 131 $6K
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 342 287 $5K
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 135 96 $5K
27096 18 12 $4K
64635 24 24 $4K
72275 68 66 $2K
99442 237 226 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,867 1,617 $2K
64450 26 26 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 47 $870.24
64636 12 12 $482.16
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,231 1,846 $449.24
64495 16 13 $257.56