Physician
Pain and Rehabilitation Medical Specialists, PC
Pain and Rehabilitation Medical Specialists, PC was paid $1.40M by Medicaid between Jan 2018 and Nov 2020, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPAIN AND REHABILITATION MEDICAL SPECIALISTS, PC
FREEPORT, NY 11520
FREEPORT, NY 11520
33aNPI1952406985assigned 09/14/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$1.40M
24GClaims52,756
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in New York
Rank by total paid#5 of 104
Median peer was paid$17K
This provider vs. median83×
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 | 19,674 | $540K | |
| 2019 | 25,083 | $652K | |
| 2020 | 7,999 | $210K |
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 | 38% | 9,583 | 8,823 | $535K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 17% | 11,709 | 3,704 | $233K |
| 64483 | 14% | 896 | 611 | $198K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 10% | 8,858 | 2,996 | $146K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.5% | 2,511 | 1,344 | $49K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 526 | 523 | $47K |
| 97162 | 3.2% | 861 | 852 | $45K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 2.8% | 5,815 | 1,838 | $39K |
| 62321 | 2.2% | 142 | 125 | $31K | |
| 97014 | 2.2% | 4,345 | 1,440 | $30K | |
| 95886 | 1.1% | 132 | 130 | $15K | |
| 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% | 74 | 74 | $9K |
19 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 202 | $7K |
| 97035 | <1% | 541 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,675 | $4K |
| 64484 | <1% | 15 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 27 | $2K |
| 20610 | <1% | 28 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 219 | $1K |
| 20553 | <1% | 24 | $1K | |
| 81025 | <1% | 184 | $700.12 | |
| 97018 | <1% | 507 | $500.71 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,457 | $432.14 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 2,119 | $112.39 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 45 | $85.38 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 172 | $13.64 |
| A4550 | Surgical trays | 0% | 16 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 21 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 20 | $0.00 |
| G8984 | Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 16 | $0.00 |
| G8985 | Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 16 | $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 officialLEDON, JUAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Integrated Musculoskeletal & Spine Group, PLLC | Freeport, NY | $4.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.