PAIN CENTER LLC
NPI: 1578643607
· JONESBORO, AR 72401
· Ambulatory Surgical Clinic/Center
· NPI assigned 10/16/2006
$1.64M
Total Medicaid Paid
Provider Details
| Authorized Official | FORMON, MONICA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/16/2006 |
Related Entities
Other providers sharing the same authorized official: FORMON, MONICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,314 |
$236K |
| 2019 |
1,500 |
$253K |
| 2020 |
1,352 |
$181K |
| 2021 |
1,842 |
$264K |
| 2022 |
1,484 |
$312K |
| 2023 |
906 |
$219K |
| 2024 |
741 |
$176K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64493 |
|
4,409 |
3,311 |
$844K |
| 64635 |
|
1,434 |
1,137 |
$560K |
| 64490 |
|
891 |
701 |
$203K |
| 64520 |
|
117 |
85 |
$20K |
| 64483 |
|
33 |
27 |
$6K |
| 64633 |
|
12 |
12 |
$6K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
933 |
872 |
$745.24 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
931 |
871 |
$572.10 |
| 64494 |
|
367 |
277 |
$100.17 |
| 64636 |
|
12 |
12 |
$0.00 |