Modern Pain & Spine PC

Modern Pain & Spine PC was paid $1.56M by Medicaid between Aug 2021 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% 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
2021	1,430	$71K
2022	7,924	$359K
2023	13,560	$609K
2024incomplete	11,494	$520K

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	38%	10,498	8,767	$587K
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)	13%	5,340	4,816	$203K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.1%	2,101	1,833	$142K
99245		8.3%	721	708	$130K
99358	Prolong nursin fac eval 15m	6.7%	1,808	1,502	$105K
20553		4.6%	1,652	1,487	$72K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	1,021	929	$62K
J0585	Injection, onabotulinumtoxina, 1 unit	3.4%	101	66	$54K
20611		2.4%	659	591	$37K
62323		1.5%	205	195	$24K
27096		1.2%	115	112	$18K
64635		1.2%	71	55	$18K

23 more codes

64493		1.1%	115	$18K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)	1.0%	840	$16K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	86	$13K
80305		<1%	1,505	$12K
72100		<1%	333	$9K
64494		<1%	102	$9K
64636		<1%	71	$9K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,901	$8K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	307	$4K
64490		<1%	25	$3K
72110		<1%	77	$2K
64491		<1%	13	$1K
76942		<1%	66	$809.26
J3490	Unclassified drugs	<1%	359	$646.13
99205	Prolong outpt/office vis	<1%	38	$582.03
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	1,404	$559.16
20610		<1%	13	$509.60
72114		<1%	17	$463.05
73560		<1%	16	$254.68
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	303	$126.07
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	2,403	$13.39
J1094	Injection, dexamethasone acetate, 1 mg	<1%	107	$3.29
77003		0%	15	$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 officialMANOLE, ATHANASIOS (MEDICAL DIRECTOR)