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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Pain Relief Centers (NPI 1457851578)

Pain Relief Centers is a interventional pain medicine physician provider located in Louisville, Kentucky. This profile covers 0 Medicare and 29 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	Pain Relief Centers
Address	5129 Dixie Hwy Ste 201
City	Louisville
State	KY
ZIP	40216
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	February 15, 2018

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

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

29 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…	39,110	$40	$1.7M
G0480	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…	13,560	$90	$1.2M
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	3,530	$250	$868.1K
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.	15,920	$50	$764K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	7,020	$100	$695K
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…	510	$1,110	$563.3K
G0483	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…	2,490	$180	$455.7K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	3,920	$100	$395.5K
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…	3,350	$80	$278.1K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	1,980	$130	$263.7K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Pain Relief Centers — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	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…	29	70	1,650	$100	$2M
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.	68	340	2,700	$40	$673.3K
G0480	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…	28	140	2,000	$60	$639.8K
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…	4	10	270	$740	$354.9K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	5	10	180	$420	$330.1K
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…	619	3,340	1,020	$30	$296K
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	2,460	580	$40	$245K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	12	80	260	$190	$182.3K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	2	40	80	$330	$181.6K
G0659	Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not…	3	10	220	$70	$154.1K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Inder Singal	KY	Ophthalmology Physician	$4M	$151.3K
John Kitchens	KY	Retina Specialist (Ophthalmology) Physician	$3.5M	$514.7K
Todd Purkiss	KY	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.8K
Blake Isernhagen	KY	Retina Specialist (Ophthalmology) Physician	$3.2M	$120.3K
Aaron Ricca	KY	Retina Specialist (Ophthalmology) Physician	$2.5M	$307.6K
Steven Bloom	KY	Ophthalmology Physician	$2.3M	$232K
Thomas Stone	KY	Retina Specialist (Ophthalmology) Physician	$2.5M	$520
Miguel Busquets	KY	Retina Specialist (Ophthalmology) Physician	$2.4M	$54.4K
Shivani Reddy	IN	Ophthalmology Physician	$2.4M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heritage Home And Day Healthcare	KY	In Home Supportive Care Agency	$0	$32.5M
Recovery Now Holdings LLC	KY	Substance Abuse Rehabilitation Facility	$0	$8.8M
Our Care Community Supports LLC	KY	Community/Behavioral Health Agency	$0	$7.9M
Harbor House Of Louisville, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$7.1M
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$3.8M
Lecorgan Counseling & Wellness	KY	Professional Counselor	$0	$3.2M
Daniel Lynch	KY	Interventional Pain Medicine Physician	$312.4K	$52.2K
Muhammad Babar	KY	Internal Medicine Physician	$236.2K	$610
Matthew Clower	KY	Diagnostic Radiology Physician	$121.2K	$0
Brittany Clunie	KY	Gerontology Nurse Practitioner	$98K	$0

Pain Relief Centers — Billing Profile & Reimbursement Data

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Pain Relief Centers — 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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