Advanced Pain Management of Elwood
Advanced Pain Management of Elwood was paid $2.34M by Medicaid between Jul 2020 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoADVANCED PAIN MANAGEMENT OF ELWOOD
ELWOOD, IN 46036
ELWOOD, IN 46036
33aNPI1982240917assigned 11/25/2019
33bProvider typePhysical Therapist
28Total paid$2.34M
24GClaims58,871
24DCodes billed15
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Indiana
Rank by total paid#7 of 78
Median peer was paid$179K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 4,504 | $134K | |
| 2021 | 9,529 | $390K | |
| 2022 | 12,661 | $590K | |
| 2023 | 17,630 | $629K | |
| 2024incomplete | 14,547 | $599K |
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 | 43% | 25,046 | 21,854 | $1.00M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 36% | 24,625 | 21,321 | $851K |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 7.8% | 277 | 245 | $182K |
| G0481 | 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; 8-14 drug class(es), including metabolite(s) if performed | 4.7% | 1,523 | 1,201 | $109K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.2% | 2,407 | 1,797 | $75K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 1,051 | 934 | $58K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.1% | 1,263 | 904 | $26K |
| 98940 | 1.1% | 1,143 | 890 | $25K | |
| 97012 | <1% | 1,155 | 901 | $13K | |
| 20610 | <1% | 29 | 29 | $832.14 | |
| 95927 | <1% | 18 | 13 | $381.00 | |
| 81025 | <1% | 102 | 94 | $366.44 |
3 more codes
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 officialDUNHAM, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Health 1ST Physical Rehabilitation of Indianapolis INC | Indianapolis, IN | $204K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.