Physician
Pain Management Group, P.C.
Pain Management Group, P.C. was paid $4.18M by Medicaid between Jan 2018 and Oct 2019, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoPAIN MANAGEMENT GROUP, P.C.
ANTIOCH, TN 37013
ANTIOCH, TN 37013
33aNPI1902804271assigned 07/12/2005
33bProvider typeInterventional Pain Medicine Physician
28Total paid$4.18M
24GClaims149,805
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Tennessee
Rank by total paid#1 of 8
Median peer was paid$121K
This provider vs. median35×
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 | 77,725 | $2.39M | |
| 2019 | 72,080 | $1.79M |
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 | 45% | 57,726 | 48,548 | $1.90M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 29,516 | 25,183 | $546K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 8.4% | 21,120 | 18,511 | $352K |
| 64635 | 5.6% | 1,908 | 1,537 | $234K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 4.8% | 1,185 | 1,070 | $201K |
| 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 | 4.1% | 2,852 | 2,492 | $172K |
| 62323 | 3.6% | 2,091 | 1,703 | $152K | |
| 64493 | 2.2% | 2,749 | 1,859 | $90K | |
| 64636 | 2.0% | 1,858 | 1,506 | $84K | |
| 01992 | 1.8% | 1,491 | 1,321 | $76K | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 1.8% | 1,479 | 1,344 | $75K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 1,078 | 895 | $55K |
28 more codes
| 64494 | 1.1% | 2,577 | $44K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 1,037 | $37K |
| 72110 | <1% | 1,914 | $29K | |
| 20610 | <1% | 809 | $25K | |
| 72141 | <1% | 134 | $22K | |
| 99406 | <1% | 2,794 | $15K | |
| 97803 | <1% | 965 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 825 | $13K |
| 72131 | <1% | 84 | $8K | |
| 72050 | <1% | 507 | $7K | |
| 82948 | <1% | 4,666 | $7K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 172 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 310 | $6K |
| 97802 | <1% | 200 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 91 | $3K |
| 72146 | <1% | 16 | $3K | |
| 81025 | <1% | 265 | $1K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 13 | $1K |
| 73562 | <1% | 96 | $911.29 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 107 | $453.40 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,223 | $406.32 |
| 72170 | <1% | 44 | $351.31 | |
| 72070 | <1% | 30 | $346.04 | |
| 76942 | <1% | 16 | $333.84 | |
| 73502 | <1% | 15 | $246.38 | |
| 73030 | <1% | 16 | $196.14 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 143 | $12.36 |
| 6045F | 0% | 5,683 | $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 officialCHUMBLEY, JULIA (MANAGER)