Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TENNESSEE VALLEY PAIN CONSULTANTS, PC

NPI: 1730548264 · HUNTSVILLE, AL 35801 · Pain Medicine (Anesthesiology) Physician · NPI assigned 02/11/2016

$1.60M
Total Medicaid Paid
72,528
Total Claims
54,824
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSCHERLIS, MORRIS (PRESIDENT)
NPI Enumeration Date02/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,440 $540K
2019 20,675 $489K
2020 11,596 $302K
2021 2,386 $98K
2022 2,029 $85K
2023 996 $59K
2024 406 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
01992 13,447 9,761 $494K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,975 20,011 $432K
27096 2,484 1,059 $140K
01936 1,621 1,211 $96K
64493 3,555 1,596 $90K
64495 3,306 1,401 $78K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,796 6,619 $76K
64494 3,286 1,472 $61K
64483 793 525 $58K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 984 828 $23K
62323 569 435 $22K
62264 61 60 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 205 164 $8K
64492 152 39 $3K
64490 75 40 $2K
64491 73 40 $1K
99215 Prolong outpt/office vis 44 44 $803.00
64484 48 27 $685.37
72275 90 67 $630.00
95991 16 12 $274.40
96103 275 175 $59.35
1036F 882 839 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,017 971 $0.00
99406 58 42 $0.00
1101F 1,023 974 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 235 225 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 74 73 $0.00
96127 78 65 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 73 72 $0.00
1123F 29 29 $0.00
1124F 841 803 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,667 1,597 $0.00
G8482 Influenza immunization administered or previously received 113 112 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 648 622 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 753 723 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,670 1,598 $0.00
4004F 232 221 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 100 97 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 132 131 $0.00
4040F 48 44 $0.00