Physician
Piedmont Pain Medicine, PC
Piedmont Pain Medicine, PC was paid $9K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoPIEDMONT PAIN MEDICINE, PC
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1952357980assigned 05/25/2006
33bProvider typePain Medicine Physician
28Total paid$9K
24GClaims8,089
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pain Medicine Physician providers in Virginia
Rank by total paid#4 of 9
Median peer was paid$8K
This provider vs. median1.1×
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 | 4,315 | $7K | |
| 2019 | 3,709 | $2K | |
| 2021 | 13 | $181.71 | |
| 2023 | 40 | $299.99 | |
| 2024incomplete | 12 | $71.56 |
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 | 100% | 1,120 | 908 | $9K |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 921 | 741 | $13.96 |
| G9583 | Patients prescribed opiates for longer than six weeks | 0% | 846 | 677 | $0.00 |
| 1036F | 0% | 15 | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 929 | 749 | $0.00 |
| G9561 | Patients prescribed opiates for longer than six weeks | 0% | 850 | 681 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 851 | 683 | $0.00 |
| G9562 | Patients who had a follow-up evaluation conducted at least every three months during opioid therapy | 0% | 850 | 681 | $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% | 849 | 683 | $0.00 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 841 | 673 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 17 | 15 | $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 officialWINIKUR, LAWRENCE (PRESIDENT)