Pain Management Associates, INC.
Pain Management Associates, INC. was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
LAGUNA HILLS, CA 92653
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,316 | $338K | |
| 2019 | 4,401 | $354K | |
| 2020 | 4,890 | $269K | |
| 2021 | 3,517 | $251K | |
| 2022 | 2,775 | $245K | |
| 2023 | 3,794 | $297K | |
| 2024incomplete | 2,172 | $205K |
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 | 70% | 17,706 | 16,828 | $1.37M |
| 64483 | 9.1% | 1,073 | 1,022 | $178K | |
| 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 | 7.9% | 1,417 | 1,410 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 2,941 | 2,847 | $116K |
| 64493 | 2.1% | 273 | 250 | $42K | |
| 62323 | 1.1% | 136 | 135 | $22K | |
| 62321 | <1% | 107 | 104 | $19K | |
| 64494 | <1% | 212 | 194 | $16K | |
| 99443 | <1% | 397 | 385 | $15K | |
| 64484 | <1% | 177 | 170 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 77 | 77 | $5K |
| 99442 | <1% | 119 | 112 | $4K |
6 more codes
| 20553 | <1% | 73 | $2K | |
| 77002 | <1% | 14 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 44 | $3.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 399 | $0.01 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 668 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 32 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.