Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Salisbury › NPI 1952346793
Physician

Piedmont Interventional Pain Care, PA

Piedmont Interventional Pain Care, PA was paid $150K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 32% of everything it billed.

33Billing provider infoPIEDMONT INTERVENTIONAL PAIN CARE, PA
SALISBURY, NC 28147
33aNPI1952346793assigned 06/17/2006
28Total paid$150K
24GClaims7,874
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in North Carolina

Rank by total paid#19 of 43
Median peer was paid$90K
This provider vs. median1.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WILSON, ROBERT controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20182,202$41K
20191,673$27K
20201,158$21K
20211,056$20K
2022450$13K
2023666$12K
2024incomplete669$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 32% 1,883 1,678 $49K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 2,021 1,878 $47K
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 15% 776 599 $22K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 13% 683 652 $19K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 7.1% 189 165 $11K
64483 1.1% 21 12 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 262 237 $754.42
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 359 324 $263.94
J3490 Unclassified drugs <1% 938 830 $35.35
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 140 113 $7.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 112 92 $4.56
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 300 284 $0.00
4 more codes
A4247 Betadine or iodine swabs/wipes, per box 0% 17 $0.00
A4209 Syringe with needle, sterile 5 cc or greater, each 0% 128 $0.00
A4215 Needle, sterile, any size, each 0% 32 $0.00
A4930 Gloves, sterile, per pair 0% 13 $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 officialWILSON, ROBERT (PRESIDENT)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.