NM Pain Care Specialist, LLC

NM Pain Care Specialist, LLC was paid $396K by Medicaid between Jan 2018 and Jan 2019, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoNM PAIN CARE SPECIALIST, LLC
RIO RANCHO, NM 87124

33aNPI1689957060assigned 09/22/2011

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$396K

24GClaims12,293

24DCodes billed29

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in New Mexico

Rank by total paid#5 of 11

Median peer was paid$160K

This provider vs. median2.5×

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	12,127	$391K
2019	166	$5K

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	34%	2,602	2,436	$133K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	18%	1,454	1,350	$70K
64635		8.5%	122	91	$34K
99152		8.4%	918	763	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.4%	841	757	$29K
64493		6.5%	164	154	$26K
64636		3.5%	84	50	$14K
64494		3.0%	135	126	$12K
27096		2.0%	63	61	$8K
64495		1.5%	71	66	$6K
J1030	Injection, methylprednisolone acetate, 40 mg	1.4%	844	695	$6K
99153	Mod sedat endo service >5yrs	1.2%	272	200	$5K

17 more codes

80305		1.1%	412	$4K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1.1%	215	$4K
64483		<1%	12	$3K
99204	Doctor's office visit, new patient (more involved)	<1%	32	$2K
62323		<1%	12	$2K
20611		<1%	19	$1K
77002		<1%	26	$1K
20550		<1%	12	$927.61
J3490	Unclassified drugs	<1%	1,153	$729.24
20610		<1%	12	$686.95
82962		<1%	238	$518.72
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	785	$361.42
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	17	$230.02
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	923	$216.09
99408		<1%	13	$167.83
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	656	$118.59
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	186	$0.00

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 officialMILLER, ROB (FRANCHISEE)