Physician
Bay State Pain Associates PC
Bay State Pain Associates PC was paid $392K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoBAY STATE PAIN ASSOCIATES PC
WEST BRIDGEWATER, MA 02379
WEST BRIDGEWATER, MA 02379
33aNPI1720251630assigned 04/11/2008
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$392K
24GClaims16,937
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Massachusetts
Rank by total paid#5 of 38
Median peer was paid$9K
This provider vs. median46×
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 | 2,445 | $92K | |
| 2019 | 2,111 | $92K | |
| 2020 | 1,247 | $43K | |
| 2021 | 1,386 | $45K | |
| 2022 | 1,545 | $48K | |
| 2023 | 4,654 | $35K | |
| 2024incomplete | 3,549 | $37K |
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 | 34% | 2,958 | 2,654 | $132K |
| 64483 | 33% | 972 | 929 | $129K | |
| 64484 | 9.8% | 792 | 703 | $38K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 1,469 | 1,345 | $37K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 6.7% | 3,754 | 2,908 | $26K |
| 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 | 5.3% | 249 | 249 | $21K |
| 76942 | 1.2% | 255 | 150 | $5K | |
| 20553 | <1% | 94 | 66 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 217 | 171 | $920.39 |
| 20610 | <1% | 41 | 38 | $807.67 | |
| 77002 | <1% | 16 | 16 | $346.86 | |
| 99072 | <1% | 22 | 17 | $89.30 |
11 more codes
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | <1% | 79 | $27.34 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 159 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 1,198 | $0.00 |
| 3725F | 0% | 1,212 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 473 | $0.00 |
| 1100F | 0% | 1,196 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 475 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 471 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 375 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 295 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 165 | $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 officialALGENDY, SHERIF (OWNER)