Preferred Pain Management, P.A,
Preferred Pain Management, P.A, was paid $338K by Medicaid between Jan 2018 and Dec 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPREFERRED PAIN MANAGEMENT, P.A,
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
33aNPI1710165501assigned 02/05/2008
33bProvider typeSpecialist
28Total paid$338K
24GClaims9,981
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#58 of 172
Median peer was paid$83K
This provider vs. median4.1×
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 | 3,730 | $154K | |
| 2019 | 2,266 | $82K | |
| 2020 | 1,256 | $36K | |
| 2021 | 2,729 | $66K |
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 | 44% | 6,465 | 4,673 | $149K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 28% | 1,451 | 1,193 | $95K |
| G0480 | 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; 1-7 drug class(es), including metabolite(s) if performed | 23% | 1,137 | 1,028 | $77K |
| 64483 | 2.2% | 72 | 62 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 779 | 609 | $7K |
| 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% | 63 | 53 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | 12 | $132.19 |
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 officialSPIVEY, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| ST Mary Mercy Physician Practices | Livonia, MI | $4.44M |
| ST Mary Mercy Hospital Professional | Livonia, MI | $179K |
| ST Mary Mercy Hospital Professional | Ann Arbor, MI | $118K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.