Physician
Interventional Spine Pain Consultants, PA
Interventional Spine Pain Consultants, PA was paid $133K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 64483, — 49% of everything it billed.
33Billing provider infoINTERVENTIONAL SPINE PAIN CONSULTANTS, PA
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1699700195assigned 07/12/2006
33bProvider typePain Medicine Physician
28Total paid$133K
24GClaims9,327
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
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 | 3,182 | $5K | |
| 2019 | 1,793 | $12K | |
| 2020 | 1,165 | $21K | |
| 2021 | 1,100 | $28K | |
| 2022 | 854 | $34K | |
| 2023 | 864 | $24K | |
| 2024incomplete | 369 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 64483 | 49% | 665 | 498 | $65K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 2,099 | 1,817 | $58K |
| 64493 | 3.1% | 148 | 81 | $4K | |
| 99443 | 2.0% | 188 | 182 | $3K | |
| 64494 | <1% | 124 | 66 | $1K | |
| 99442 | <1% | 41 | 18 | $851.25 | |
| 77003 | <1% | 4,532 | 2,961 | $424.22 | |
| 99152 | <1% | 346 | 228 | $146.14 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 89 | 52 | $71.13 |
| 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 | <1% | 12 | 12 | $30.97 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | <1% | 287 | 161 | $0.10 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 45 | 38 | $0.00 |
8 more codes
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 48 | $0.00 |
| 1123F | 0% | 39 | $0.00 | |
| 4040F | 0% | 30 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 251 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 127 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 185 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 48 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 23 | $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 officialWITHERELL, PETER (PRESIDENT)