The Spine and Pain Center LLC

The Spine and Pain Center LLC was paid $161K by Medicaid between Jan 2019 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoTHE SPINE AND PAIN CENTER LLC
TULSA, OK 74104

33aNPI1689144602assigned 12/03/2018

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$161K

24GClaims5,392

24DCodes billed12

24AFirst – last monthJan 2019 – Dec 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Oklahoma

Rank by total paid#11 of 19

Median peer was paid$368K

This provider vs. median0.4×

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

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	49%	3,045	2,906	$79K
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	29%	775	741	$46K
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	18%	264	261	$29K
64483		1.3%	12	12	$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%	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.)	<1%	139	139	$1K
98980		<1%	99	99	$724.66
98977		<1%	55	55	$635.56
98981		<1%	54	54	$405.31
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	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)	<1%	124	115	$152.28
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	338	333	$102.35

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 officialWALLACE, ADAM (OWNER)