PAIN MANAGEMENT 360 LLC
NPI: 1821717711
· HUNTINGTON, WV 25703
· Physician Assistant
· NPI assigned 08/24/2022
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | MALAYIL, RUDY (OWNER) |
| NPI Enumeration Date | 08/24/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
204 |
$3K |
| 2023 |
1,826 |
$63K |
| 2024 |
2,484 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,000 |
2,318 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
652 |
520 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
91 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
744 |
558 |
$2K |