Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pain Physicians of Indiana PC

Pain Physicians of Indiana PC was paid $933K by Medicaid between Jan 2018 and Jan 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoPAIN PHYSICIANS OF INDIANA PC
MERRILLVILLE, IN 46410
33aNPI1952667859assigned 04/04/2012
28Total paid$933K
24GClaims45,479
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Indiana

Rank by total paid#3 of 7
Median peer was paid$379K
This provider vs. median2.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
20186,994$74K
20196,561$151K
20206,785$119K
202110,763$204K
20228,125$211K
20236,103$166K
2024incomplete148$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 53% 16,374 12,902 $491K
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% 11,397 9,063 $285K
64483 6.6% 1,003 874 $62K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.9% 2,307 1,856 $46K
Q3014 Telehealth originating site facility fee 1.1% 2,693 2,111 $10K
64418 <1% 315 237 $8K
99152 <1% 1,265 951 $8K
20610 <1% 318 219 $5K
62323 <1% 52 40 $4K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 785 700 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 85 71 $3K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 775 644 $2K
16 more codes
20553 <1% 50 $1K
20552 <1% 154 $1K
64484 <1% 67 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 66 $499.41
99443 <1% 48 $422.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 148 $383.25
77002 <1% 74 $173.02
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 471 $120.03
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 422 $1.85
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 0% 33 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 33 $0.00
99439 0% 20 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,683 $0.00
99490 Ccm add 20min 0% 828 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 1,993 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 20 $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 officialSHAHBANDAR, TAREK (CEO/PRESIDENT)