Paragon Pain & Rehabilitation PLLC

Paragon Pain & Rehabilitation PLLC was paid $473K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

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	7,816	$8K
2019	2,733	$3K
2020	33,954	$9K
2021	26,019	$53K
2022	20,725	$94K
2023	39,419	$163K
2024incomplete	13,824	$143K

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	56%	5,986	5,688	$263K
99308	Subsequent nursing facility care, per day, straightforward	34%	38,713	15,409	$158K
99309	Subsequent nursing facility care, per day, low to moderate complexity	5.1%	4,136	2,241	$24K
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	1.5%	72	70	$7K
80305		1.2%	783	716	$6K
99305		<1%	410	316	$5K
99306	Prolong nursin fac eval 15m	<1%	194	181	$3K
99307		<1%	743	524	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	369	360	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	169	69	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	35	27	$892.43
M1034	Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days	0%	4,098	1,928	$0.00

23 more codes

1036F		0%	7,437	$0.00
G9366	One high-risk medication not ordered	0%	1,041	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	2,716	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	194	$0.00
G9367	At least two orders for high-risk medications from the same drug class	0%	5,726	$0.00
1101F		0%	134	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	103	$0.00
G2197	Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user	0%	153	$0.00
G2181	Bmi not documented due to medical reason or patient refusal of height or weight measurement	0%	170	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	22	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	125	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	28,564	$0.00
G8942	Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment	0%	5,772	$0.00
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%	12,935	$0.00
G9578	Documentation of signed opioid treatment agreement at least once during opioid therapy	0%	7,092	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	1,928	$0.00
G9365	One high-risk medication ordered	0%	5,201	$0.00
4004F		0%	6,635	$0.00
3288F		0%	2,650	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	29	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	97	$0.00
0518F		0%	29	$0.00
1100F		0%	29	$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 officialMCNERNEY, KAREN (COO)