Midwest Spine & Pain Consultants

Midwest Spine & Pain Consultants was paid $557K by Medicaid between Jan 2018 and Mar 2021, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoMIDWEST SPINE & PAIN CONSULTANTS
NEW ALBANY, OH 43054

33aNPI1841694577assigned 10/08/2014

33bProvider typePain Clinic/Center

28Total paid$557K

24GClaims22,513

24DCodes billed23

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Pain Clinic/Center providers in Ohio

Rank by total paid#4 of 8

Median peer was paid$239K

This provider vs. median2.3×

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	8,295	$195K
2019	8,656	$222K
2020	4,925	$119K
2021	637	$22K

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	64%	9,527	8,164	$358K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	3,590	3,143	$96K
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	5.6%	530	471	$31K
93923		3.5%	354	156	$20K
80305		2.6%	3,164	2,775	$14K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	629	564	$11K
95923		<1%	145	132	$4K
95921		<1%	164	153	$4K
64493		<1%	48	38	$3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	574	468	$3K
99441		<1%	308	283	$3K
77002		<1%	133	97	$3K

11 more codes

20610		<1%	115	$3K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	321	$2K
99442		<1%	89	$1K
64494		<1%	33	$1K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	43	$297.98
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	900	$192.95
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%	14	$83.75
98966		<1%	13	$19.13
S0020	Injection, bupivicaine hydrochloride, 30 ml	0%	46	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	46	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	1,727	$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 officialHENRY, JIMMY (FOUNDER)