Physician
Neurospinecare, INC.
Neurospinecare, INC. was paid $802K by Medicaid between Jan 2018 and May 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoNEUROSPINECARE, INC.
SHEFFIELD VILLAGE, OH 44035
SHEFFIELD VILLAGE, OH 44035
33aNPI1790743540assigned 05/02/2006
33bProvider typeNeurological Surgery Physician
28Total paid$802K
24GClaims26,286
24DCodes billed21
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Neurological Surgery Physician providers in Ohio
Rank by total paid#1 of 14
Median peer was paid$9K
This provider vs. median94×
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 | 9,903 | $304K | |
| 2019 | 7,925 | $229K | |
| 2020 | 5,961 | $193K | |
| 2021 | 2,497 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 9,927 | 8,958 | $299K |
| 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 | 27% | 4,618 | 4,224 | $218K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 21% | 4,802 | 1,602 | $170K |
| 95911 | 2.9% | 233 | 224 | $23K | |
| 97162 | 2.3% | 436 | 400 | $19K | |
| 95886 | 2.1% | 340 | 324 | $17K | |
| 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 | 2.0% | 241 | 228 | $16K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.5% | 1,063 | 440 | $12K |
| 99442 | 1.1% | 616 | 590 | $9K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,094 | 925 | $7K |
| 97161 | <1% | 74 | 70 | $3K | |
| 64635 | <1% | 34 | 26 | $2K |
9 more codes
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 officialSERTICH, MARIO (PRESIDENT)