Spine, Sports Medicine and Pain Management, LLC
Spine, Sports Medicine and Pain Management, LLC was paid $218K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is J1020, Injection, methylprednisolone acetate, 20 mg — 37% of everything it billed.
33Billing provider infoSPINE, SPORTS MEDICINE AND PAIN MANAGEMENT, LLC
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
33aNPI1962696542assigned 08/28/2007
33bProvider typeSpecialist
28Total paid$218K
24GClaims13,913
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#83 of 218
Median peer was paid$88K
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
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 | 1,634 | $57K | |
| 2019 | 2,148 | $44K | |
| 2020 | 856 | $11K | |
| 2021 | 1,413 | $17K | |
| 2022 | 2,888 | $29K | |
| 2023 | 3,261 | $39K | |
| 2024incomplete | 1,713 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J1020 | Injection, methylprednisolone acetate, 20 mg | 37% | 2,386 | 1,982 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,883 | 3,948 | $59K |
| 20610 | 16% | 2,111 | 1,868 | $36K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 10.0% | 709 | 624 | $22K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 5.5% | 321 | 282 | $12K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 1.2% | 238 | 231 | $3K |
| 64450 | 1.2% | 1,539 | 705 | $3K | |
| 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 | 1.0% | 344 | 327 | $2K |
| 20550 | <1% | 1,123 | 1,046 | $556.34 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | 39 | $394.06 |
| 20553 | <1% | 151 | 126 | $276.25 | |
| 20552 | 0% | 69 | 65 | $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 officialLUO, JOAN (OWNER)