Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pain Rehabilitation & Critical Care Medical Group, INC.

Pain Rehabilitation & Critical Care Medical Group, INC. was paid $198K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoPAIN REHABILITATION & CRITICAL CARE MEDICAL GROUP, INC.
COLTON, CA 92324
33aNPI1659569226assigned 10/09/2007
28Total paid$198K
24GClaims6,381
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Care Medicine (Anesthesiology) Physician providers in California

Rank by total paid#4 of 11
Median peer was paid$43K
This provider vs. median4.6×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018952$28K
2019849$29K
2020775$31K
2021733$25K
2022557$15K
20231,008$27K
2024incomplete1,507$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 59% 4,229 4,148 $117K
99243 14% 622 621 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 909 897 $20K
99205 Prolong outpt/office vis 7.3% 270 269 $14K
99152 5.2% 267 242 $10K
64635 2.1% 24 16 $4K
64636 1.3% 23 16 $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% 25 25 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $211.46

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 officialCOMUNALE, MARK (PRESIDENT)
Same official

Other billing entities under COMUNALE, MARK

Full network →
ProviderLocationPaid
Inland Empire Anesthesia Medical Group, INCColton, CA$994K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.