Pain Medicine Specialists, PA
Pain Medicine Specialists, PA was paid $41K by Medicaid between Jan 2022 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoPAIN MEDICINE SPECIALISTS, PA
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
33aNPI1679118657assigned 11/13/2019
33bProvider typeSpecialist
28Total paid$41K
24GClaims3,383
24DCodes billed11
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#46 of 89
Median peer was paid$41K
This provider vs. median1.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 2,580 | $28K | |
| 2023 | 751 | $8K | |
| 2024incomplete | 52 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 1,695 | 1,449 | $25K |
| 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 | 27% | 228 | 204 | $11K |
| 80305 | 3.2% | 307 | 250 | $1K | |
| 64493 | 2.6% | 37 | 29 | $1K | |
| 20610 | 1.4% | 55 | 37 | $573.11 | |
| 64494 | 1.3% | 37 | 29 | $525.48 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 15 | 13 | $500.26 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $379.24 |
| 95886 | <1% | 13 | 12 | $239.17 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 409 | 304 | $17.22 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 575 | 430 | $2.16 |
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 officialSEMKEN, COURTNEY (PRACTICE MANAGER)