Physician
Lags Spine and Sportscare Medical Centers, INC.
Lags Spine and Sportscare Medical Centers, INC. was paid $374K by Medicaid between May 2018 and Sep 2020, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoLAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1861995771assigned 03/16/2018
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$374K
24GClaims5,817
24DCodes billed15
24AFirst – last monthMay 2018 – Sep 2020
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#18 of 70
Median peer was paid$39K
This provider vs. median9.7×
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 | 2,972 | $131K | |
| 2019 | 1,487 | $135K | |
| 2020 | 1,358 | $108K |
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 | 56% | 2,006 | 1,911 | $209K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 881 | 840 | $58K |
| 99490 | Ccm add 20min | 15% | 2,013 | 2,013 | $55K |
| 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 | 3.6% | 86 | 86 | $14K |
| 95886 | 3.2% | 109 | 108 | $12K | |
| 64493 | 1.9% | 62 | 37 | $7K | |
| Q3014 | Telehealth originating site facility fee | 1.4% | 154 | 154 | $5K |
| 95911 | 1.3% | 38 | 38 | $5K | |
| 64494 | <1% | 62 | 37 | $3K | |
| 64495 | <1% | 43 | 24 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 82 | 82 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 14 | $1K |
3 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 officialD'AMATO, AMY (CONTRACTS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lags Spine and Sportscare Medical Centers, INC. | Ventura, CA | $617K |
| Lags Spine and Sportscare Medical Centers, INC. | Merced, CA | $353K |
| Lags Spine and Sportscare Medical Centers, INC. | Portland, OR | $4K |
| Lags Spine and Sportscare Medical Centers, INC. | Sacramento, CA | $640.91 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.