The Pain Medicine & Rehabilitation Center, INC
The Pain Medicine & Rehabilitation Center, INC was paid $16K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.
33Billing provider infoTHE PAIN MEDICINE & REHABILITATION CENTER, INC
SEYMOUR, IN 47274
SEYMOUR, IN 47274
33aNPI1922285212assigned 01/29/2008
33bProvider typeSpecialist
28Total paid$16K
24GClaims30,827
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#65 of 90
Median peer was paid$98K
This provider vs. median0.2×
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 | 10,355 | $0.00 | |
| 2019 | 7,612 | $0.00 | |
| 2020 | 6,626 | $0.00 | |
| 2021 | 3,776 | $0.00 | |
| 2022 | 377 | $0.00 | |
| 2023 | 149 | $200.00 | |
| 2024incomplete | 1,932 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 65% | 892 | 617 | $11K |
| 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 | 33% | 3,107 | 2,750 | $5K |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 576 | 320 | $134.29 |
| 99490 | Ccm add 20min | <1% | 444 | 408 | $100.81 |
| 96138 | <1% | 39 | 23 | $74.75 | |
| G3003 | Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) | <1% | 225 | 136 | $48.13 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 14 | 13 | $39.75 |
| 1036F | 0% | 1,268 | 1,134 | $0.00 | |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 2,683 | 2,439 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 554 | 501 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 653 | 614 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 148 | 134 | $0.00 |
16 more codes
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 73 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 16 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 91 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,850 | $0.00 |
| 4004F | 0% | 728 | $0.00 | |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 1,854 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 2,684 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 1,716 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 864 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 2,424 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,156 | $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% | 2,725 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 197 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 2,728 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 100 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 18 | $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 officialALEXANDER, ANTHONY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Anthony W Alexander MD LLC | Florence, SC | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.