Physician
Pain Management Group PLLC
Pain Management Group PLLC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
33Billing provider infoPAIN MANAGEMENT GROUP PLLC
FINDLAY, OH 45840
FINDLAY, OH 45840
33aNPI1780071167assigned 04/23/2015
33bProvider typePain Medicine Physician
28Total paid$1.07M
24GClaims65,062
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine Physician providers in Ohio
Rank by total paid#3 of 16
Median peer was paid$112K
This provider vs. median9.6×
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 | 11,577 | $253K | |
| 2019 | 21,827 | $170K | |
| 2020 | 10,921 | $106K | |
| 2021 | 6,199 | $130K | |
| 2022 | 4,797 | $116K | |
| 2023 | 5,218 | $156K | |
| 2024incomplete | 4,523 | $141K |
Box 24 · Service lines
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 | 16% | 4,479 | 3,935 | $176K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,332 | 5,702 | $164K |
| 64493 | 15% | 2,350 | 2,256 | $161K | |
| 64635 | 9.9% | 733 | 705 | $106K | |
| 64494 | 8.5% | 2,543 | 2,213 | $91K | |
| 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 | 7.3% | 1,230 | 1,138 | $78K |
| 62323 | 5.8% | 1,133 | 1,125 | $62K | |
| 64490 | 4.7% | 652 | 627 | $51K | |
| 27096 | 3.3% | 620 | 614 | $35K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 839 | 795 | $35K |
| 64636 | 2.9% | 706 | 627 | $31K | |
| 64491 | 2.5% | 653 | 569 | $27K |
42 more codes
| 64483 | 2.2% | 359 | $23K | |
| 64495 | 1.2% | 389 | $13K | |
| 20610 | <1% | 134 | $4K | |
| 64451 | <1% | 52 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 25 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $2K |
| 62321 | <1% | 37 | $2K | |
| 64492 | <1% | 54 | $2K | |
| 77002 | <1% | 76 | $994.35 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $964.33 |
| 99442 | <1% | 12 | $499.18 | |
| 99441 | <1% | 66 | $474.41 | |
| 20553 | <1% | 13 | $409.68 | |
| 64484 | <1% | 15 | $354.24 | |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 2,957 | $0.00 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 578 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 1,623 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 3,009 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,711 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 1,794 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,606 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,383 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 69 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 2,174 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 4,183 | $0.00 |
| 4004F | 0% | 785 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 886 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 899 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 27 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 26 | $0.00 |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 1,723 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 857 | $0.00 |
| 1006F | 0% | 453 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 367 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 579 | $0.00 |
| 1036F | 0% | 1,257 | $0.00 | |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 2,128 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,526 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 573 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 255 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 31 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 14 | $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 officialHECKER, BRADLEY (CFO)
Parent organizationPAIN MANAGEMENT GROUP LLC
| Provider | Location | Paid |
|---|---|---|
| Pain Management Group LLC | Findlay, OH | $2.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.