Premier Pain & Spine Center, PLLC

Premier Pain & Spine Center, PLLC was paid $657K by Medicaid between Oct 2021 and Dec 2024, across 29 billing codes. Its largest line is L0650, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 30% of everything it billed.

Compared with peers

Next to other Health Service Clinic/Center providers in Tennessee

Rank by total paid#1 of 10

Median peer was paid$39K

This provider vs. median17×

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
2021	641	$4K
2022	7,226	$196K
2023	10,924	$312K
2024incomplete	8,299	$146K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	30%	505	433	$197K
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	29%	6,492	4,989	$192K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	1,538	1,193	$69K
64493		6.0%	535	303	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.2%	1,671	1,250	$34K
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	3.7%	499	400	$25K
80305		3.1%	6,185	4,438	$21K
64635		2.8%	91	58	$18K
64494		2.6%	528	296	$17K
64636		1.3%	116	58	$9K
81025		<1%	2,141	1,543	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	845	613	$6K

17 more codes

J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,548	$6K
99205	Prolong outpt/office vis	<1%	69	$5K
96127		<1%	1,108	$2K
20610		<1%	47	$2K
99203	Doctor's office visit, new patient (routine)	<1%	29	$2K
99442		<1%	90	$2K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	664	$1K
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	152	$997.28
77002		<1%	35	$988.66
99223	Prolong inpt eval add15 m	<1%	20	$815.07
64495		<1%	18	$545.09
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	961	$542.16
99441		<1%	15	$217.00
82962		<1%	123	$140.02
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	21	$137.42
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	48	$43.01
G9500	Radiation exposure indices documented in final report for procedure using fluoroscopy	0%	996	$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 officialSCHMIDT, ALEX (AUTHORIZED OFFICIAL)