Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Painstop Spine Clinic, LLC (NPI 1063715746)

Painstop Spine Clinic, LLC is a interventional pain medicine physician provider located in Biloxi, Mississippi. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Painstop Spine Clinic, LLC
Address	180b Debuys Rd
City	Biloxi
State	MS
ZIP	39531
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	December 17, 2010

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	51,760	$40	$2.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	46,440	$30	$1.3M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	20,850	$40	$771.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	9,050	$30	$244.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1,090	$90	$92.5K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,700	$40	$59.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,990	$10	$38.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	850	$10	$10.2K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	1,010	$10	$6K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	350	$10	$4.5K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

Claims Volume vs. Mississippi Distribution

Painstop Spine Clinic, LLC — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	28	1,910	930	$60	$278.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	249	340	4,380	$20	$210.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	13	1,670	720	$50	$196.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	214	370	4,870	$20	$189.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12	120	340	$50	$148.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2	120	1,650	$30	$115K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	53	490	90	$70	$49.9K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	13	90	200	$40	$30K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	61	110	530	$10	$22.6K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	34	90	50	$30	$15.1K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Tsang	MS	Pain Medicine (Anesthesiology) Physician	$262.7K	$0
Kelyn Martin	MS	Nurse Practitioner	$116.7K	$0
Shawn Mei	MS	Interventional Pain Medicine Physician	$104.2K	$0
Kelly Ray	MS	Certified Registered Nurse Anesthetist	$21.1K	$0
Ramunda Livingston	MS	Clinical Social Worker	$21.1K	$0
Tina Cvitanovich	MS	Clinical Social Worker	$20.1K	$0
Miguel Melgar	MS	Neurological Surgery Physician	$19.8K	$0
Larry May	MS	Certified Registered Nurse Anesthetist	$10.1K	$0
Elaine Zinger	MI	Certified Registered Nurse Anesthetist	$2.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$16.2M
Gulf Shores Adult Day Care	MS	Adult Day Care Clinic/Center	$0	$3.7M
Mitchell Gruich	MS	Pediatrics Physician	$0	$2.3M
Tri County Eye Clinic, PLLC	MS	Ophthalmology Physician	$0	$1.7M
Anne Baranano	MS	Retina Specialist (Ophthalmology) Physician	$1.7M	$530
Tara Sykes	MS	Family Nurse Practitioner	$1.6M	$0
Building Behaviors Counseling Services, LLC	MS	Mental Health Counselor	$0	$1.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.5M
Evelyn Collier	MS	General Practice Dentistry	$0	$1.4M
Gulf Coast Outpatient Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$732.4K	$409K

Painstop Spine Clinic, LLC — Billing Profile & Reimbursement Data

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Painstop Spine Clinic, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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