Physician
Chronic Pain Consultants, P.C.
Chronic Pain Consultants, P.C. was paid $478K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoCHRONIC PAIN CONSULTANTS, P.C.
STERLING HEIGHTS, MI 48313
STERLING HEIGHTS, MI 48313
33aNPI1952337503assigned 06/24/2006
33bProvider typeInterventional Pain Medicine Physician
28Total paid$478K
24GClaims12,207
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Michigan
Rank by total paid#9 of 23
Median peer was paid$312K
This provider vs. median1.5×
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 | 1,220 | $42K | |
| 2019 | 1,506 | $53K | |
| 2020 | 1,392 | $49K | |
| 2021 | 1,519 | $87K | |
| 2022 | 1,955 | $69K | |
| 2023 | 2,448 | $91K | |
| 2024incomplete | 2,167 | $88K |
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 | 67% | 7,147 | 6,679 | $322K |
| 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 | 29% | 1,985 | 1,846 | $138K |
| 80305 | 3.3% | 1,976 | 1,956 | $16K | |
| 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 | <1% | 27 | 27 | $3K |
| 99442 | <1% | 12 | 12 | $562.29 | |
| M1168 | Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | 0% | 36 | 36 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 19 | 19 | $0.00 |
| M1176 | Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period | 0% | 50 | 50 | $0.00 |
| 1124F | 0% | 84 | 83 | $0.00 | |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 80 | 78 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 12 | 12 | $0.00 |
| M1170 | Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | 0% | 66 | 66 | $0.00 |
8 more codes
| G9989 | Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) | 0% | 12 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 96 | $0.00 |
| 0526F | 0% | 176 | $0.00 | |
| M1171 | Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period | 0% | 71 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 162 | $0.00 |
| 1123F | 0% | 32 | $0.00 | |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 132 | $0.00 |
| M1173 | Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period | 0% | 32 | $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 officialKOLE, WILLIAM (PRESIDENT)