Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAIN MD LLC

NPI: 1639509664 · FRANKLIN, TN 37067 · Clinical Medical Laboratory · NPI assigned 11/12/2013

$1.39M
Total Medicaid Paid
62,134
Total Claims
32,180
Beneficiaries
26
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialCOMBS, CARROLL (CORPORATE COUNSEL)
NPI Enumeration Date11/12/2013

Related Entities

Other providers sharing the same authorized official: COMBS, CARROLL

ProviderCityStateTotal Paid
PAIN MD LLC LAWRENCEBURG TN $1K
PAIN MD LLC KINGSPORT TN $962.38
PAIN MD LLC TULLAHOMA TN $462.02
PAIN MD LLC CHRISTIANSBURG VA $74.67
PAIN MD LLC MOUNT AIRY NC $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,862 $1.10M
2019 5,272 $286K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,652 11,472 $466K
20551 29,249 7,205 $465K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,633 2,458 $157K
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 2,492 2,322 $151K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,752 1,896 $59K
20553 1,582 1,115 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,151 1,416 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 160 141 $13K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 98 84 $7K
20552 312 285 $7K
20610 397 178 $3K
80356 128 123 $2K
80361 130 125 $2K
96161 406 369 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,197 1,425 $1K
80365 72 70 $888.21
99215 Prolong outpt/office vis 19 12 $665.58
G0444 Annual depression screening, 5 to 15 minutes 1,541 1,352 $347.90
80346 13 13 $256.88
72100 17 12 $230.33
L0180 Cervical, multiple post collar, occipital/mandibular supports, adjustable 18 17 $200.50
80325 12 12 $179.04
80336 14 14 $175.14
80359 12 12 $150.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 38 26 $73.92
J1030 Injection, methylprednisolone acetate, 40 mg 39 26 $47.83