Physician
Spine and Pain Specialty Care LLC
Spine and Pain Specialty Care LLC was paid $345K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSPINE AND PAIN SPECIALTY CARE LLC
ELIZABETH, NJ 07202
ELIZABETH, NJ 07202
33aNPI1881090413assigned 11/10/2014
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$345K
24GClaims13,219
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New Jersey
Rank by total paid#10 of 35
Median peer was paid$38K
This provider vs. median9.1×
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 | 4,405 | $184K | |
| 2019 | 3,550 | $103K | |
| 2020 | 2,403 | $46K | |
| 2021 | 1,322 | $9K | |
| 2022 | 972 | $3K | |
| 2023 | 454 | $1K | |
| 2024incomplete | 113 | $262.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,905 | 5,198 | $112K |
| 64483 | 17% | 387 | 366 | $60K | |
| 20610 | 13% | 946 | 565 | $44K | |
| 64484 | 11% | 247 | 244 | $37K | |
| 77002 | 7.5% | 839 | 574 | $26K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.2% | 151 | 151 | $25K |
| 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 | 6.2% | 522 | 505 | $21K |
| 76942 | 1.5% | 199 | 189 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.1% | 1,836 | 1,655 | $4K |
| 80305 | <1% | 615 | 611 | $3K | |
| 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 | <1% | 91 | 88 | $3K |
| 20553 | <1% | 119 | 116 | $2K |
6 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 officialSHEN, EDWARD (PAIN PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Edward N. Shen, M.D., INC. | Honolulu, HI | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.