Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Regional Pain Institute, LLC

Regional Pain Institute, LLC was paid $188K by Medicaid between Jan 2018 and Dec 2020, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoREGIONAL PAIN INSTITUTE, LLC
SAN TAN VALLEY, AZ 85140
33aNPI1992118673assigned 06/10/2014
33bProvider typeSpecialist
28Total paid$188K
24GClaims6,409
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Specialist providers in Arizona

Rank by total paid#77 of 179
Median peer was paid$112K
This provider vs. median1.7×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,023$61K
20191,787$55K
20202,599$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 2,693 2,462 $92K
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 30% 1,033 962 $55K
99484 12% 960 916 $22K
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 5.6% 133 123 $11K
64483 1.7% 15 13 $3K
80305 1.3% 647 579 $2K
64484 <1% 15 13 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 233 182 $177.50
J1030 Injection, methylprednisolone acetate, 40 mg <1% 35 28 $171.63
J3010 Injection, fentanyl citrate, 0.1 mg <1% 213 172 $84.65
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 67 48 $37.04
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 173 136 $22.97
1 more codes
J2704 Injection, propofol, 10 mg <1% 192 $5.37

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 officialMARTIN, NATHAN (ADMINISTRATOR)