Clinic
Coastal Pain & Spinal Diagnostics Medical Group, INC.
Coastal Pain & Spinal Diagnostics Medical Group, INC. was paid $144K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoCOASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC.
CARLSBAD, CA 92009
CARLSBAD, CA 92009
33aNPI1710044029assigned 01/03/2007
33bProvider typePain Clinic/Center
28Total paid$144K
24GClaims7,285
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Clinic/Center providers in California
Rank by total paid#8 of 19
Median peer was paid$90K
This provider vs. median1.6×
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 | 667 | $10K | |
| 2019 | 1,029 | $17K | |
| 2020 | 796 | $23K | |
| 2021 | 660 | $20K | |
| 2022 | 1,438 | $21K | |
| 2023 | 1,615 | $41K | |
| 2024incomplete | 1,080 | $11K |
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 | 76% | 4,756 | 4,452 | $109K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,231 | 2,139 | $32K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | <1% | 39 | 39 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 220 | 215 | $640.39 |
| 62370 | <1% | 13 | 13 | $305.85 | |
| 76942 | <1% | 13 | 13 | $191.37 | |
| 99442 | <1% | 13 | 13 | $190.20 |
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, NATHAN (PRESIDENT MD)
| Provider | Location | Paid |
|---|---|---|
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| Thrive Counseling LLC | Lynchburg, VA | $244K |
| Shine Group INC. | Centennial, CO | $177K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.