Clinic
Pain & Spine Consultants
Pain & Spine Consultants was paid $274K by Medicaid between Sep 2019 and Oct 2022, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoPAIN & SPINE CONSULTANTS
BURLEY, ID 83318
BURLEY, ID 83318
33aNPI1902366834assigned 03/25/2019
33bProvider typeMedical Specialty Clinic/Center
28Total paid$274K
24GClaims5,470
24DCodes billed10
24AFirst – last monthSep 2019 – Oct 2022
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Idaho
Rank by total paid#4 of 6
Median peer was paid$274K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 103 | $7K | |
| 2020 | 923 | $60K | |
| 2021 | 2,479 | $115K | |
| 2022 | 1,965 | $91K |
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% | 2,958 | 2,820 | $175K |
| 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 | 15% | 374 | 369 | $40K |
| 76942 | 7.8% | 627 | 526 | $21K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 347 | 337 | $16K |
| 20553 | 5.7% | 506 | 418 | $16K | |
| 64483 | <1% | 18 | 18 | $3K | |
| 62321 | <1% | 12 | 12 | $2K | |
| 27096 | <1% | 13 | 13 | $2K | |
| 20552 | <1% | 15 | 15 | $371.05 | |
| J3490 | Unclassified drugs | <1% | 600 | 497 | $54.18 |
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 officialPOSTON, JASON (MEMBER)