Physician
Brain and Spine Center PLC
Brain and Spine Center PLC was paid $882K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoBRAIN AND SPINE CENTER PLC
CHANDLER, AZ 85226
CHANDLER, AZ 85226
33aNPI1780906396assigned 02/23/2010
33bProvider typeNeurology Physician
28Total paid$882K
24GClaims16,953
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Arizona
Rank by total paid#12 of 63
Median peer was paid$89K
This provider vs. median9.9×
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 | 3,782 | $198K | |
| 2019 | 4,921 | $298K | |
| 2020 | 4,039 | $193K | |
| 2021 | 1,328 | $64K | |
| 2022 | 1,182 | $44K | |
| 2023 | 739 | $29K | |
| 2024incomplete | 962 | $56K |
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 | 57% | 9,632 | 9,115 | $505K |
| 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 | 8.9% | 1,000 | 943 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 1,835 | 1,767 | $68K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.1% | 362 | 361 | $45K |
| 95886 | 4.1% | 572 | 511 | $36K | |
| 95913 | 3.2% | 139 | 134 | $28K | |
| 95912 | 3.1% | 159 | 154 | $27K | |
| 95819 | 2.9% | 95 | 92 | $26K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 948 | 816 | $20K |
| 64405 | 1.4% | 137 | 131 | $13K | |
| 64615 | 1.4% | 123 | 118 | $13K | |
| 95911 | <1% | 44 | 44 | $8K |
10 more codes
| 95885 | <1% | 91 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 45 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 300 | $2K |
| 95816 | <1% | 14 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | $1K |
| J3490 | Unclassified drugs | <1% | 247 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 727 | $1K |
| J0670 | Injection, mepivacaine hydrochloride, per 10 ml | <1% | 313 | $454.10 |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 103 | $153.35 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 12 | $5.65 |
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 officialPANDEY, HEMANT (OWNER)