INTERVENTIONAL SPINE & PAIN MANAGEMENT
NPI: 1609204338
· MURRAY, UT 84107
· 207LP2900X
$453K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
463 |
$9K |
| 2019 |
1,039 |
$11K |
| 2020 |
1,056 |
$13K |
| 2021 |
2,992 |
$75K |
| 2022 |
3,724 |
$122K |
| 2023 |
2,591 |
$103K |
| 2024 |
2,305 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,257 |
4,780 |
$193K |
| 99214 |
|
3,081 |
2,813 |
$174K |
| 64483 |
|
261 |
220 |
$38K |
| 99204 |
|
152 |
149 |
$14K |
| G0481 |
Drug test def 8-14 classes |
127 |
125 |
$10K |
| 99152 |
|
1,852 |
1,564 |
$9K |
| 62321 |
|
40 |
39 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
2,344 |
2,070 |
$4K |
| 62323 |
|
24 |
24 |
$3K |
| 64484 |
|
196 |
168 |
$2K |
| 96132 |
|
13 |
13 |
$355.88 |
| 80306 |
|
15 |
15 |
$239.85 |
| G0396 |
Alcohol/subs interv 15-30mn |
12 |
12 |
$200.94 |
| 96130 |
|
12 |
12 |
$80.17 |
| 96127 |
|
12 |
12 |
$0.00 |
| G9500 |
Rad expos ind/exp tm doc |
502 |
419 |
$0.00 |
| G8730 |
Pain doc pos and plan |
257 |
228 |
$0.00 |
| 96138 |
|
13 |
13 |
$0.00 |