Supplier
Commonwealth Pain Specialists, PLLC
Commonwealth Pain Specialists, PLLC was paid $2.14M by Medicaid between Jan 2018 and May 2020, across 25 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 40% of everything it billed.
33Billing provider infoCOMMONWEALTH PAIN SPECIALISTS, PLLC
FRANKFORT, KY 40601
FRANKFORT, KY 40601
33aNPI1700161981assigned 10/19/2011
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.14M
24GClaims61,873
24DCodes billed25
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky
Rank by total paid#23 of 362
Median peer was paid$5K
This provider vs. median432×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FISHER, TAMIA controls 13+ related entities in our dataset. Read more
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 | 19,794 | $628K | |
| 2019 | 38,044 | $1.38M | |
| 2020 | 4,035 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 40% | 20,894 | 19,229 | $865K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 26,356 | 24,259 | $772K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 3,322 | 3,094 | $190K |
| 62323 | 3.6% | 597 | 559 | $76K | |
| 64493 | 2.9% | 529 | 470 | $62K | |
| 80305 | 2.2% | 5,386 | 5,063 | $46K | |
| 64494 | 1.4% | 511 | 453 | $30K | |
| 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 | <1% | 401 | 369 | $20K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 725 | 656 | $17K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,629 | 1,462 | $15K |
| 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% | 160 | 149 | $13K |
| 77002 | <1% | 141 | 124 | $5K |
13 more codes
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 96 | $4K |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 16 | $4K |
| 27096 | <1% | 12 | $4K | |
| 64635 | <1% | 12 | $4K | |
| 20610 | <1% | 73 | $4K | |
| 64636 | <1% | 24 | $3K | |
| 96103 | <1% | 375 | $2K | |
| 64483 | <1% | 14 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 353 | $2K |
| 64490 | <1% | 14 | $1K | |
| 64491 | <1% | 14 | $752.48 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 56 | $228.90 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 163 | $150.12 |
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 officialFISHER, TAMIA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Interventional Pain & Spine Specialists LLC | Lexington, KY | $6.25M |
| Vitality DX LLC | Lexington, KY | $2.05M |
| Interventional Pain & Spine Specialists LLC | Lexington, KY | $1.22M |
| Interventional Pain & Spine Specialists LLC | Evansville, IN | $522K |
| Interventional Pain & Spine Specialists, LLC | Louisville, KY | $462K |
| Interventional Pain & Spine Specialists LLC | Bowling Green, KY | $374K |
| Interventional Pain & Spine Specialists LLC | Louisville, KY | $323K |
| Interventional Pain & Spine Specialists LLC | Bowling Green, KY | $308K |
| Interventional Pain & Spine Specialists LLC | Frankfort, KY | $177K |
| Interventional Pain & Spine Specialists LLC | Louisville, KY | $136K |
| Vitality Pain Management LLC | Bowling Green, KY | $116K |
| X-Gene Molecular Laboratories, INC | Louisville, KY | $50K |
| Kingdom Counseling | Chandler, IN | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.