Clinic
Dolora Pain Management Associates, PC
Dolora Pain Management Associates, PC was paid $476K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoDOLORA PAIN MANAGEMENT ASSOCIATES, PC
WARREN, MI 48088
WARREN, MI 48088
33aNPI1922041276assigned 06/14/2006
33bProvider typePain Clinic/Center
28Total paid$476K
24GClaims22,217
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pain Clinic/Center providers in Michigan
Rank by total paid#2 of 8
Median peer was paid$50K
This provider vs. median9.5×
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 | 4,601 | $98K | |
| 2019 | 8,060 | $145K | |
| 2020 | 4,852 | $76K | |
| 2021 | 2,029 | $65K | |
| 2022 | 2,373 | $79K | |
| 2023 | 113 | $5K | |
| 2024incomplete | 189 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 2,954 | 2,715 | $125K |
| 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 | 23% | 1,371 | 1,252 | $109K |
| 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 | 21% | 1,741 | 1,611 | $101K |
| 62323 | 14% | 721 | 598 | $67K | |
| 27096 | 6.0% | 301 | 248 | $29K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.1% | 448 | 446 | $20K |
| 80305 | 1.6% | 1,157 | 1,052 | $7K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,382 | 2,012 | $4K |
| 64493 | <1% | 32 | 25 | $4K | |
| 77002 | <1% | 155 | 153 | $3K | |
| 64494 | <1% | 44 | 37 | $2K | |
| 64495 | <1% | 44 | 37 | $2K |
13 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 48 | $2K |
| 20610 | <1% | 25 | $716.78 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $394.56 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,789 | $350.36 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 540 | $315.01 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 281 | $0.00 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 75 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 34 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 3,710 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 3,671 | $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% | 163 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 486 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 33 | $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 officialKHAN, SAYEED (M.D.)