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

Pain Specialists of Charleston PA

Pain Specialists of Charleston PA was paid $673K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoPAIN SPECIALISTS OF CHARLESTON PA
NORTH CHARLESTON, SC 29406
33aNPI1760636856assigned 11/17/2008
28Total paid$673K
24GClaims21,693
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in South Carolina

Rank by total paid#1 of 12
Median peer was paid$65K
This provider vs. median10×

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$10K$20K$30K2018201920202021202220232024
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
20182,233$33K
20192,483$42K
20202,510$68K
20212,468$75K
20223,330$141K
20234,859$193K
2024incomplete3,810$121K
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 51% 14,349 13,610 $344K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 22% 2,724 2,591 $149K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 18% 2,040 1,951 $124K
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 4.6% 930 908 $31K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 224 222 $8K
95886 1.0% 157 118 $7K
62323 <1% 138 129 $7K
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% 52 52 $3K
99152 <1% 222 199 $543.79
J1040 Injection, methylprednisolone acetate, 80 mg <1% 149 133 $121.24
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 484 416 $8.09
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 224 199 $3.34

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 officialTAVEL, EDWARD (PRESIDENT)
Parent organizationPAIN SPECIALIST OF CHARLESTON PA