Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Paul E. Pinson Dba/Pain and Spine Specialists

Paul E. Pinson Dba/Pain and Spine Specialists was paid $238K by Medicaid between Mar 2020 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoPAUL E. PINSON DBA/PAIN AND SPINE SPECIALISTS
CLEVELAND, TN 37312
33aNPI1720582976assigned 03/22/2018
28Total paid$238K
24GClaims22,017
24DCodes billed16
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Tennessee

Rank by total paid#9 of 26
Median peer was paid$38K
This provider vs. median6.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020852$2K
20211,679$5K
20225,081$76K
20237,337$91K
2024incomplete7,068$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 12,761 8,857 $137K
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 23% 3,650 2,726 $55K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 7.4% 491 280 $17K
64635 4.0% 94 54 $10K
81025 3.1% 1,660 1,338 $7K
96127 <1% 1,418 1,042 $2K
20611 <1% 122 61 $2K
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% 59 39 $2K
80305 <1% 272 250 $2K
64493 <1% 28 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 183 98 $952.10
76942 <1% 89 65 $750.42
4 more codes
99408 <1% 871 $590.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 251 $101.17
99442 <1% 23 $65.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 45 $54.22

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 officialPINSON, PAUL (OWNER)