ADVANCED SPINE AND PAIN CENTERS, INC.

$3.57M

Total Medicaid Paid

36,600

Total Claims

30,810

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
64636		1,851	1,379	$1.48M
64635		1,847	1,378	$846K
L0648	Lso sag r an/pos pnl pre ots	710	611	$394K
99213		13,738	11,596	$317K
80307		4,943	4,425	$194K
99214		1,769	1,565	$70K
80332		2,391	2,104	$42K
80338		2,375	2,090	$41K
80324		2,430	2,114	$37K
99203		832	714	$34K
62323		157	140	$30K
64493		192	158	$22K
L0637	Lso sc r ant/pos pnl pre cst	32	29	$18K
99152		587	479	$15K
64495		192	158	$8K
64494		192	158	$8K
99212		79	68	$1K
80347		84	82	$1K
80364		84	82	$1K
20552		16	15	$875.05
80370		84	82	$868.68
80368		126	96	$718.78
G0480	Drug test def 1-7 classes	611	583	$711.10
83992		55	27	$139.44
80356		13	13	$125.94
80358		55	27	$67.04
80355		56	28	$65.34
80361		55	27	$41.98
80365		55	27	$27.02
80359		55	27	$24.45
J3301	Triamcinolone acet inj nos	17	15	$8.48
80363		42	14	$0.00
80333		42	14	$0.00
J1030	Methylprednisolone 40 mg inj	58	54	$0.00
80350		42	14	$0.00
80353		42	14	$0.00
80367		55	27	$0.00
80345		13	13	$0.00
G8427	Docrev cur meds by elig clin	198	159	$0.00
80354		42	14	$0.00
80346		42	14	$0.00
80372		52	27	$0.00
80373		55	27	$0.00
80336		49	26	$0.00
G0482	Drug test def 15-21 classes	18	16	$0.00
80369		42	14	$0.00
80366		42	14	$0.00
G9622	No unheal etoh user	16	13	$0.00
80348		39	13	$0.00
G8482	Flu immunize order/admin	28	26	$0.00

Medicaid Provider Spending