Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAIN MANAGEMENT GROUP PLLC

NPI: 1780071167 · FINDLAY, OH 45840 · Pain Medicine Physician · NPI assigned 04/23/2015

$1.07M
Total Medicaid Paid
65,062
Total Claims
61,205
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHECKER, BRADLEY (CFO)
Parent OrganizationPAIN MANAGEMENT GROUP LLC
NPI Enumeration Date04/23/2015

Related Entities

Other providers sharing the same authorized official: HECKER, BRADLEY

ProviderCityStateTotal Paid
PAIN MANAGEMENT GROUP LLC FINDLAY OH $2.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,523 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,479 3,935 $176K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,332 5,702 $164K
64493 2,350 2,256 $161K
64635 733 705 $106K
64494 2,543 2,213 $91K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,230 1,138 $78K
62323 1,133 1,125 $62K
64490 652 627 $51K
27096 620 614 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 839 795 $35K
64636 706 627 $31K
64491 653 569 $27K
64483 359 350 $23K
64495 389 355 $13K
20610 134 128 $4K
64451 52 48 $3K
99205 Prolong outpt/office vis 25 25 $2K
99215 Prolong outpt/office vis 28 28 $2K
62321 37 37 $2K
64492 54 51 $2K
77002 76 71 $994.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59 59 $964.33
99442 12 12 $499.18
99441 66 64 $474.41
20553 13 13 $409.68
64484 15 13 $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 2,957 2,803 $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 578 562 $0.00
G9561 Patients prescribed opiates for longer than six weeks 1,623 1,567 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 3,009 2,841 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,711 2,635 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 1,794 1,731 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,606 2,535 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,383 7,019 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 69 65 $0.00
G9577 Patients prescribed opiates for longer than six weeks 2,174 2,035 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 4,183 3,912 $0.00
4004F 785 745 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 886 878 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 899 880 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 27 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 26 26 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 1,723 1,678 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 857 811 $0.00
1006F 453 424 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 367 353 $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) 579 562 $0.00
1036F 1,257 1,203 $0.00
G9583 Patients prescribed opiates for longer than six weeks 2,128 2,000 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,526 1,502 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 573 556 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 255 250 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 31 31 $0.00
G8432 Depression screening not documented, reason not given 14 14 $0.00