Supplier
Commonwealth Integrity Pain Center PLLC
Commonwealth Integrity Pain Center PLLC was paid $198K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoCOMMONWEALTH INTEGRITY PAIN CENTER PLLC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1689119570assigned 12/30/2016
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$198K
24GClaims20,766
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky
Rank by total paid#99 of 362
Median peer was paid$5K
This provider vs. median40×
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 | |
|---|---|---|---|
| 2018 | 3,296 | $12K | |
| 2019 | 2,148 | $17K | |
| 2020 | 2,000 | $27K | |
| 2021 | 5,409 | $42K | |
| 2022 | 3,448 | $36K | |
| 2023 | 2,448 | $34K | |
| 2024incomplete | 2,017 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 5,260 | 4,087 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 4,018 | 3,131 | $60K |
| 80305 | 7.9% | 4,073 | 3,035 | $16K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5.1% | 723 | 559 | $10K |
| 99205 | Prolong outpt/office vis | 2.5% | 67 | 56 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 117 | 86 | $5K |
| 86328 | <1% | 152 | 132 | $2K | |
| G0481 | 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; 8-14 drug class(es), including metabolite(s) if performed | <1% | 173 | 136 | $560.00 |
| 96127 | <1% | 325 | 238 | $493.28 | |
| Q3014 | Telehealth originating site facility fee | <1% | 74 | 66 | $212.26 |
| 36416 | <1% | 153 | 129 | $176.35 | |
| 99050 | <1% | 19 | 17 | $138.17 |
2 more codes
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 officialSMITH, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Boone County Ambulance Authority | Racine, WV | $5.95M |
| Life Supply Corp | Ludlow, MA | $4.11M |
| Long Beach Reach INC. | Long Beach, NY | $3.40M |
| Premier Pediatrics, INC | Brighton, CO | $2.71M |
| Technical Gas Products, INC | Hilliard, OH | $525K |
| Technical Gas Products INC | Hopkinton, MA | $461K |
| All American Podiatry and Wound Care, P.C. | Virginia Beach, VA | $98K |
| Joseph R Smith,ii, Dds,pa | Bethel, NC | $18K |
| Milagro Vein Solutions LLC | Santa Fe, NM | $6K |
| Life Supply Corporation | Leominster, MA | $155.98 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.