Physician
Tennessee Valley Pain Consultants, PC
Tennessee Valley Pain Consultants, PC was paid $1.60M by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 01992, — 31% of everything it billed.
33Billing provider infoTENNESSEE VALLEY PAIN CONSULTANTS, PC
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
33aNPI1730548264assigned 02/11/2016
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$1.60M
24GClaims72,528
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Alabama
Rank by total paid#1 of 20
Median peer was paid$16K
This provider vs. median99×
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 | 34,440 | $540K | |
| 2019 | 20,675 | $489K | |
| 2020 | 11,596 | $302K | |
| 2021 | 2,386 | $98K | |
| 2022 | 2,029 | $85K | |
| 2023 | 996 | $59K | |
| 2024incomplete | 406 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 01992 | 31% | 13,447 | 9,761 | $494K | |
| 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 | 27% | 23,975 | 20,011 | $432K |
| 27096 | 8.8% | 2,484 | 1,059 | $140K | |
| 01936 | 6.0% | 1,621 | 1,211 | $96K | |
| 64493 | 5.7% | 3,555 | 1,596 | $90K | |
| 64495 | 4.9% | 3,306 | 1,401 | $78K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 7,796 | 6,619 | $76K |
| 64494 | 3.8% | 3,286 | 1,472 | $61K | |
| 64483 | 3.6% | 793 | 525 | $58K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.5% | 984 | 828 | $23K |
| 62323 | 1.4% | 569 | 435 | $22K | |
| 62264 | <1% | 61 | 60 | $12K |
28 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 205 | $8K |
| 64492 | <1% | 152 | $3K | |
| 64490 | <1% | 75 | $2K | |
| 64491 | <1% | 73 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $803.00 |
| 64484 | <1% | 48 | $685.37 | |
| 72275 | <1% | 90 | $630.00 | |
| 95991 | <1% | 16 | $274.40 | |
| 96103 | <1% | 275 | $59.35 | |
| 1036F | 0% | 882 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,017 | $0.00 |
| 99406 | 0% | 58 | $0.00 | |
| 1101F | 0% | 1,023 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 235 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 74 | $0.00 |
| 96127 | 0% | 78 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 73 | $0.00 |
| 1123F | 0% | 29 | $0.00 | |
| 1124F | 0% | 841 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 1,667 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 113 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 648 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 753 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,670 | $0.00 |
| 4004F | 0% | 232 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 100 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 132 | $0.00 |
| 4040F | 0% | 48 | $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 officialSCHERLIS, MORRIS (PRESIDENT)