Medicaid Provider Spending

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

NORTHERN KENTUCKY CENTER FOR PAIN RELIEF, LLC

NPI: 1548597016 · FLORENCE, KY 41042 · Pain Medicine (Anesthesiology) Physician · NPI assigned 11/04/2009

$4.86M
Total Medicaid Paid
119,970
Total Claims
79,600
Beneficiaries
27
Codes Billed
2018-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialSEBASTIAN, VICKI (ADMINISTRATOR)
NPI Enumeration Date11/04/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44,967 $1.76M
2019 32,531 $1.51M
2020 27,637 $1.22M
2021 12,677 $354K
2022 2,158 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 13,567 10,913 $2.01M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 24,479 18,269 $962K
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 6,019 3,785 $563K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,108 9,074 $398K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,698 8,550 $282K
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 171 139 $135K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,805 3,724 $95K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 6,039 2,824 $89K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,867 3,754 $63K
97012 7,744 3,658 $57K
97014 7,140 3,514 $50K
98940 2,110 1,071 $25K
84311 4,143 3,378 $24K
62323 224 158 $22K
82570 4,135 3,325 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 225 156 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 773 660 $9K
95923 107 88 $9K
95924 102 85 $8K
93923 121 88 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 107 76 $5K
99442 301 230 $4K
99215 Prolong outpt/office vis 101 73 $3K
20610 68 50 $2K
81003 2,397 1,812 $339.01
72100 13 12 $263.56
G0281 Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care 406 134 $0.00