Physician
Crystal Coast Pain Management Center, PLLC
Crystal Coast Pain Management Center, PLLC was paid $84K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoCRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
NEW BERN, NC 28560
NEW BERN, NC 28560
33aNPI1790747988assigned 04/04/2006
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$84K
24GClaims9,144
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in North Carolina
Rank by total paid#23 of 43
Median peer was paid$90K
This provider vs. median0.9×
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 | 996 | $3K | |
| 2019 | 1,637 | $14K | |
| 2020 | 1,030 | $10K | |
| 2021 | 937 | $6K | |
| 2022 | 1,848 | $14K | |
| 2023 | 1,378 | $18K | |
| 2024incomplete | 1,318 | $20K |
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 | 61% | 3,220 | 2,928 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,081 | 2,725 | $26K |
| 99454 | 2.7% | 277 | 239 | $2K | |
| 80305 | 2.5% | 1,667 | 1,507 | $2K | |
| 99457 | 2.3% | 295 | 259 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 124 | 110 | $365.36 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 99 | 80 | $157.63 |
| 99442 | <1% | 12 | 12 | $157.33 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 266 | 128 | $9.55 |
| 99421 | 0% | 13 | 13 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 25 | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37 | 25 | $0.00 |
1 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 28 | $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 officialHARUM, KIRK (OWNER/ PHYSICIAN)