PREMIER SPINE & PAIN CENTER PA
NPI: 1679762876
· ORANGE PARK, FL 32073
· Pain Medicine Physician
· NPI assigned 10/24/2007
$207K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ANDRAWIS, ASHRAF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,044 |
$70K |
| 2019 |
2,715 |
$68K |
| 2020 |
1,977 |
$41K |
| 2021 |
1,232 |
$26K |
| 2022 |
229 |
$735.94 |
| 2023 |
3,567 |
$0.00 |
| 2024 |
2,125 |
$556.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,069 |
2,495 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,866 |
7,936 |
$85K |
| 80305 |
|
1,942 |
1,662 |
$12.71 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$1.18 |