Medicaid Provider Spending

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

THE SPINE AND PAIN CENTER LLC

NPI: 1689144602 · TULSA, OK 74104 · Pain Medicine (Anesthesiology) Physician · NPI assigned 12/03/2018

$161K
Total Medicaid Paid
5,392
Total Claims
5,193
Beneficiaries
12
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALLACE, ADAM (OWNER)
NPI Enumeration Date12/03/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 178 $2K
2020 210 $4K
2021 581 $11K
2022 1,531 $39K
2023 1,469 $24K
2024 1,423 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,045 2,906 $79K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 775 741 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 264 261 $29K
64483 12 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 139 139 $1K
98980 99 99 $724.66
98977 55 55 $635.56
98981 54 54 $405.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg 474 465 $311.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 124 115 $152.28
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 338 333 $102.35