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COMMONWEALTH PAIN ASSOCIATES, PLLC

Pain Medicine, Interventional Pain Medicine·LOUISVILLE, KY·NPI: 1306280177Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.2M

$42,203,562

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+61%
2019
$4.4M
+35%
2020
$6.0M
+15%
2021
$6.9M
+2%
2022
$7.0M
+10%
2023
$7.7M
-3%
2024
$7.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 21% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$8.8M

228K claims · 20.8%

Your Cost: $38.58/claim|Median: $53.41
0.7× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$6.1M

91K claims · 14.4%

Your Cost: $66.75/claim|Median: $64.72
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$6.0M

248K claims · 14.3%

Your Cost: $24.32/claim|Median: $37.81
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2.5M

81K claims · 5.8%

Your Cost: $30.13/claim|Median: $35.43
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.3M

30K claims · 5.4%

Your Cost: $77.32/claim|Median: $84.03
0.9× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$2.0M

18K claims · 4.8%

Your Cost: $115.03/claim|Median: $90.89
1.3× median
64635Normal range

$1.7M

7,408 claims · 4.1%

Your Cost: $236.01/claim|Median: $207.78
1.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$1.7M

42K claims · 4.1%

Your Cost: $42.00/claim|Median: $37.56
1.1× median
64483Normal range

$1.6M

13K claims · 3.9%

Your Cost: $124.93/claim|Median: $124.24
1.0× median
80305Normal range

$1.4M

231K claims · 3.4%

Your Cost: $6.21/claim|Median: $7.44
0.8× median
27096Top 25%

$1.2M

7,065 claims · 2.7%

Your Cost: $163.07/claim|Median: $89.16
1.8× median
64636Top 25%

$1.1M

7,756 claims · 2.7%

Your Cost: $146.32/claim|Median: $63.60
2.3× median
64493Normal range

$1.0M

11K claims · 2.4%

Your Cost: $93.80/claim|Median: $103.44
0.9× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$771K

8,425 claims · 1.8%

Your Cost: $91.55/claim|Median: $75.26
1.2× median
64494Normal range

$510K

11K claims · 1.2%

Your Cost: $45.77/claim|Median: $34.70
1.3× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$460K

4,173 claims · 1.1%

Your Cost: $110.34/claim|Median: $111.02
1.0× median
J7320Top 1%

$416K

205 claims · 1.0%

Your Cost: $2,029.97/claim|Median: $39.61
51.2× median
J0702Top 25%

$276K

15K claims · 0.7%

Your Cost: $18.37/claim|Median: $7.64
2.4× median
62321Normal range

$256K

1,962 claims · 0.6%

Your Cost: $130.41/claim|Median: $132.67
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$231K

4,502 claims · 0.5%

Your Cost: $51.39/claim|Median: $57.85
0.9× median
77002Normal range

$213K

5,864 claims · 0.5%

Your Cost: $36.30/claim|Median: $23.55
1.5× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$199K

6,387 claims · 0.5%

Your Cost: $31.14/claim|Median: $29.03
1.1× median
64484Normal range

$147K

2,071 claims · 0.3%

Your Cost: $70.97/claim|Median: $47.83
1.5× median
01992Normal range

$142K

3,124 claims · 0.3%

Your Cost: $45.30/claim|Median: $54.01
0.8× median
L0650Normal range

$105K

207 claims · 0.2%

Your Cost: $506.46/claim|Median: $339.16
1.5× median
J1040Normal range

$80K

11K claims · 0.2%

Your Cost: $7.17/claim|Median: $6.87
1.0× median
64495Normal range

$80K

1,368 claims · 0.2%

Your Cost: $58.12/claim|Median: $36.70
1.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$73K

3,933 claims · 0.2%

Your Cost: $18.53/claim|Median: $22.44
0.8× median
99490Normal range

Chronic care management services, 20 minutes per month

$60K

28K claims · 0.1%

Your Cost: $2.16/claim|Median: $6.31
0.3× median
99484Top 25%

$59K

2,828 claims · 0.1%

Your Cost: $21.02/claim|Median: $7.13
2.9× median
97110Normal range

Therapeutic exercises, each 15 min

$59K

4,490 claims · 0.1%

Your Cost: $13.10/claim|Median: $24.49
0.5× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$56K

16K claims · 0.1%

Your Cost: $3.55/claim|Median: $2.91
1.2× median
20553Normal range

$50K

1,869 claims · 0.1%

Your Cost: $26.97/claim|Median: $29.47
0.9× median
01940Normal range

$49K

859 claims · 0.1%

Your Cost: $57.58/claim|Median: $57.16
1.0× median
97140Normal range

Manual therapy techniques, per 15 minutes

$45K

3,297 claims · 0.1%

Your Cost: $13.54/claim|Median: $16.79
0.8× median
99441Normal range

Telephone E/M by physician, 5-10 min

$40K

3,323 claims · 0.1%

Your Cost: $12.17/claim|Median: $13.30
0.9× median
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$37K

8,551 claims · 0.1%

Your Cost: $4.27/claim|Median: $4.38
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$37K

2,415 claims · 0.1%

Your Cost: $15.13/claim|Median: $20.04
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$34K

2,138 claims · 0.1%

Your Cost: $15.75/claim|Median: $33.11
0.5× median
99439Normal range

$19K

9,467 claims · 0.0%

Your Cost: $1.97/claim|Median: $5.83
0.3× median
99152Top 25%

$18K

922 claims · 0.0%

Your Cost: $19.48/claim|Median: $7.34
2.7× median
72114Normal range

$16K

527 claims · 0.0%

Your Cost: $29.70/claim|Median: $29.80
1.0× median
64490Normal range

$15K

144 claims · 0.0%

Your Cost: $105.16/claim|Median: $111.43
0.9× median
J7321Top 25%

Hyaluronan injection for knee joint supplement

$14K

235 claims · 0.0%

Your Cost: $59.22/claim|Median: $24.72
2.4× median
96103Normal range

$12K

1,310 claims · 0.0%

Your Cost: $8.94/claim|Median: $5.95
1.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$11K

309 claims · 0.0%

Your Cost: $35.22/claim|Median: $32.55
1.1× median
J1100Top 25%

$11K

7,949 claims · 0.0%

Your Cost: $1.36/claim|Median: $0.52
2.6× median
Q9966Top 25%

$8K

1,402 claims · 0.0%

Your Cost: $5.57/claim|Median: $0.75
7.4× median
G2211Normal range

$6K

23K claims · 0.0%

Your Cost: $0.27/claim|Median: $2.40
0.1× median
64491Normal range

$6K

122 claims · 0.0%

Your Cost: $49.25/claim|Median: $40.21
1.2× median

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