Pain Management & Treatment Center, S.C.
Pain Management & Treatment Center, S.C. was paid $3.12M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 19% of everything it billed.
33Billing provider infoPAIN MANAGEMENT & TREATMENT CENTER, S.C.
MILWAUKEE, WI 53223
MILWAUKEE, WI 53223
33aNPI1750412201assigned 03/08/2007
33bProvider typeSpecialist
28Total paid$3.12M
24GClaims105,071
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Wisconsin
Rank by total paid#3 of 37
Median peer was paid$19K
This provider vs. median166×
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 | 13,296 | $512K | |
| 2019 | 11,931 | $451K | |
| 2020 | 15,049 | $439K | |
| 2021 | 19,405 | $509K | |
| 2022 | 14,923 | $406K | |
| 2023 | 16,717 | $414K | |
| 2024incomplete | 13,750 | $385K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 19% | 16,675 | 14,734 | $602K |
| 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 | 18% | 21,764 | 17,469 | $549K |
| 64635 | 11% | 2,171 | 1,710 | $340K | |
| 64493 | 8.2% | 3,973 | 2,805 | $255K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.8% | 13,274 | 5,347 | $243K |
| 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 | 6.3% | 3,528 | 3,121 | $195K |
| 76942 | 6.1% | 3,587 | 2,769 | $190K | |
| 64636 | 4.6% | 2,165 | 1,705 | $143K | |
| 64494 | 4.0% | 3,964 | 2,799 | $123K | |
| 27096 | 3.5% | 1,470 | 848 | $111K | |
| 97162 | 3.3% | 2,885 | 2,454 | $102K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.0% | 9,505 | 3,999 | $95K |
22 more codes
| 64495 | 1.6% | 986 | $48K | |
| 20553 | 1.0% | 1,957 | $32K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,168 | $24K |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | <1% | 67 | $21K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 900 | $13K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 765 | $8K |
| 64483 | <1% | 43 | $5K | |
| A4550 | Surgical trays | <1% | 3,327 | $4K |
| 62323 | <1% | 33 | $3K | |
| 64484 | <1% | 43 | $3K | |
| 64633 | <1% | 16 | $3K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 179 | $1K |
| 64490 | <1% | 16 | $975.90 | |
| 64634 | <1% | 16 | $848.62 | |
| 20551 | <1% | 42 | $570.41 | |
| 97760 | <1% | 24 | $483.19 | |
| 64491 | <1% | 16 | $480.24 | |
| 98975 | <1% | 145 | $169.71 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $68.14 |
| 77003 | <1% | 19 | $22.69 | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 4,663 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 4,673 | $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 officialECCLESTON, KIMBERLY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| PMTC Surgery Center, INC | Milwaukee, WI | $2.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.