MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
NPI: 1912074659
· MISHAWAKA, IN 46545
· Pain Medicine (Physical Medicine & Rehabilitation) Physician
· NPI assigned 11/29/2006
$379K
Total Medicaid Paid
Provider Details
| Authorized Official | DREW, KEVIN (PRESIDENT) |
| NPI Enumeration Date | 11/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,435 |
$66K |
| 2019 |
4,558 |
$60K |
| 2020 |
2,972 |
$58K |
| 2021 |
3,391 |
$72K |
| 2022 |
2,612 |
$55K |
| 2023 |
2,276 |
$44K |
| 2024 |
1,072 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,024 |
5,336 |
$256K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,271 |
3,331 |
$106K |
| 83986 |
|
4,353 |
3,467 |
$5K |
| 84311 |
|
1,420 |
1,040 |
$4K |
| 81003 |
|
4,306 |
3,428 |
$3K |
| 82570 |
|
1,411 |
1,032 |
$3K |
| 99215 |
Prolong outpt/office vis |
19 |
12 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
142 |
122 |
$127.39 |
| A4215 |
Needle, sterile, any size, each |
236 |
200 |
$4.16 |
| A4550 |
Surgical trays |
134 |
105 |
$0.00 |