Physician
Innovative Pain Care LLC
Innovative Pain Care LLC was paid $207K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoINNOVATIVE PAIN CARE LLC
FRANKLIN, WI 53132
FRANKLIN, WI 53132
33aNPI1568682318assigned 04/26/2007
33bProvider typeInterventional Pain Medicine Physician
28Total paid$207K
24GClaims17,168
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Wisconsin
Rank by total paid#3 of 6
Median peer was paid$48K
This provider vs. median4.3×
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 | 2,308 | $26K | |
| 2019 | 8,038 | $17K | |
| 2020 | 611 | $14K | |
| 2021 | 1,501 | $30K | |
| 2022 | 1,431 | $30K | |
| 2023 | 1,763 | $38K | |
| 2024incomplete | 1,516 | $53K |
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 | 41% | 3,474 | 3,124 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 4,516 | 4,036 | $80K |
| 62323 | 12% | 260 | 206 | $24K | |
| 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 | 6.6% | 301 | 262 | $14K |
| 64483 | 1.1% | 27 | 25 | $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% | 28 | 26 | $1K |
| 77003 | <1% | 174 | 140 | $649.93 | |
| 64484 | <1% | 14 | 12 | $432.89 | |
| 99152 | <1% | 46 | 36 | $362.56 | |
| 99442 | <1% | 55 | 50 | $320.91 | |
| 1006F | 0% | 1,705 | 1,276 | $0.00 | |
| 1123F | 0% | 1,703 | 1,275 | $0.00 |
4 more codes
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,703 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,125 | $0.00 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 992 | $0.00 |
| 99072 | 0% | 45 | $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 officialMORTENSEN, GORDON (PARTNER)