Physician
Comprehensive Pain Consultants of the Carolinas PLLC
Comprehensive Pain Consultants of the Carolinas PLLC was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoCOMPREHENSIVE PAIN CONSULTANTS OF THE CAROLINAS PLLC
MARION, NC 28752
MARION, NC 28752
33aNPI1558817932assigned 08/26/2016
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.61M
24GClaims94,039
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in North Carolina
Rank by total paid#5 of 43
Median peer was paid$90K
This provider vs. median18×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,373 | $142K | |
| 2019 | 10,705 | $236K | |
| 2020 | 13,757 | $264K | |
| 2021 | 19,513 | $306K | |
| 2022 | 13,058 | $249K | |
| 2023 | 10,227 | $211K | |
| 2024incomplete | 8,406 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 22,322 | 15,528 | $678K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 18,326 | 12,864 | $419K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 14% | 4,138 | 3,401 | $227K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.1% | 1,981 | 1,524 | $115K |
| 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 | 6.3% | 1,728 | 1,452 | $101K |
| 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 | 2.2% | 234 | 202 | $35K |
| 99406 | <1% | 7,026 | 5,726 | $8K | |
| 98960 | <1% | 9,658 | 7,936 | $6K | |
| 99442 | <1% | 265 | 200 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,902 | 1,332 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 68 | 48 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 37 | 32 | $2K |
23 more codes
| 77002 | <1% | 87 | $1K | |
| 20610 | <1% | 46 | $1K | |
| 27096 | <1% | 22 | $927.24 | |
| 64493 | <1% | 20 | $676.65 | |
| 96127 | <1% | 798 | $625.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $543.90 |
| 64494 | <1% | 20 | $333.40 | |
| 80305 | <1% | 132 | $299.27 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 187 | $178.90 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 897 | $155.02 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 93 | $9.99 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 56 | $4.80 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 13 | $2.93 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 204 | $1.34 |
| J3490 | Unclassified drugs | <1% | 445 | $0.31 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 11,586 | $0.19 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 8,020 | $0.02 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 1,410 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 155 | $0.00 |
| 3725F | 0% | 2,080 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 27 | $0.00 |
| 99401 | 0% | 13 | $0.00 | |
| 99429 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWILSON, ALLISON (OFFICE MANAGER)
Parent organizationCOMPREHENSIVE PAIN CONSULTANTS OF THE CAROLIINAS PLLC
| Provider | Location | Paid |
|---|---|---|
| Roots Counseling & Consultation LLC | Traverse City, MI | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.