Physician
Ut Center for Pain Management and Research, INC
Ut Center for Pain Management and Research, INC was paid $61K by Medicaid between Jan 2018 and Mar 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoUT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC
PROVO, UT 84604
PROVO, UT 84604
33aNPI1902805948assigned 07/20/2005
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$61K
24GClaims2,794
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Utah
Rank by total paid#4 of 13
Median peer was paid$24K
This provider vs. median2.6×
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 | 342 | $6K | |
| 2019 | 761 | $10K | |
| 2020 | 619 | $12K | |
| 2021 | 407 | $14K | |
| 2022 | 539 | $14K | |
| 2023 | 126 | $5K |
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 | 78% | 1,566 | 1,153 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 577 | 443 | $14K |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 78 | 50 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 79 | 51 | $0.00 |
| 96136 | 0% | 69 | 48 | $0.00 | |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 79 | 51 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 79 | 51 | $0.00 |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 79 | 51 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 79 | 51 | $0.00 |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 79 | 51 | $0.00 |
| 96127 | 0% | 30 | 20 | $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 officialROSENTHAL, RICHARD (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Special Needs Dentistry of PA | Exton, PA | $162K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.