Physician
Advanced Pain Treatment Center
Advanced Pain Treatment Center was paid $323K by Medicaid between May 2018 and May 2023, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoADVANCED PAIN TREATMENT CENTER
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
33aNPI1720108939assigned 03/30/2007
33bProvider typeInterventional Pain Medicine Physician
28Total paid$323K
24GClaims25,950
24DCodes billed46
24AFirst – last monthMay 2018 – May 2023
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Kentucky
Rank by total paid#10 of 24
Median peer was paid$58K
This provider vs. median5.6×
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 | 1,411 | $19K | |
| 2019 | 11,135 | $163K | |
| 2020 | 3,479 | $36K | |
| 2021 | 4,829 | $40K | |
| 2022 | 4,459 | $58K | |
| 2023 | 637 | $7K |
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 | 17% | 3,043 | 2,183 | $54K |
| 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 | 13% | 2,169 | 1,362 | $43K |
| 99358 | Prolong nursin fac eval 15m | 13% | 2,603 | 1,885 | $41K |
| 96130 | 10% | 1,454 | 892 | $33K | |
| 96131 | 4.8% | 580 | 389 | $15K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 4.4% | 536 | 387 | $14K |
| 99493 | 3.8% | 1,102 | 666 | $12K | |
| 99490 | Ccm add 20min | 3.7% | 1,089 | 805 | $12K |
| 99152 | 3.7% | 670 | 468 | $12K | |
| 99487 | Ccm add 20min | 3.1% | 462 | 358 | $10K |
| 64493 | 2.6% | 138 | 114 | $8K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.2% | 1,048 | 277 | $7K |
34 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.1% | 1,136 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 96 | $6K |
| 64483 | 1.6% | 110 | $5K | |
| 80305 | 1.5% | 1,139 | $5K | |
| 99494 | 1.4% | 819 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 254 | $4K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.2% | 457 | $4K |
| 64494 | 1.1% | 122 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | 1.1% | 129 | $3K |
| 99153 | Mod sedat endo service >5yrs | 1.0% | 628 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 59 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $2K |
| 99489 | Ccm add 20min | <1% | 84 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 30 | $2K |
| G2214 | Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional | <1% | 1,016 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 41 | $831.42 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 421 | $728.23 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 100 | $721.41 |
| 64484 | <1% | 45 | $604.15 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,010 | $428.59 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 656 | $327.91 |
| 96127 | <1% | 1,549 | $291.07 | |
| 97032 | <1% | 61 | $230.52 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 194 | $207.96 |
| 81003 | <1% | 327 | $124.83 | |
| 97016 | <1% | 58 | $103.33 | |
| 97116 | <1% | 14 | $100.73 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $74.36 |
| 99406 | <1% | 20 | $74.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 299 | $63.05 |
| 97010 | <1% | 37 | $40.75 | |
| 90785 | <1% | 24 | $25.50 | |
| 99071 | <1% | 44 | $9.00 | |
| 97035 | <1% | 36 | $7.49 |
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 officialGUPTA, PRAGYA (OWNER)