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

Why is the Medicaid comparison limited to Alaska 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. Alaska (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 And Headache Center, LLC (NPI 1518300185)

Pain And Headache Center, LLC is a interventional pain medicine physician provider located in Wasilla, Alaska. This profile covers 0 Medicare and 17 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 And Headache Center, LLC
Address	851 E Westpoint Dr Ste B6
City	Wasilla
State	AK
ZIP	99654
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	April 12, 2013

Payer Source	Total Paid
Medicaid	$637K
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	5,420	$60	$298.3K
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…	3,130	$90	$294.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	1,530	$10	$10.7K
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…	70	$100	$7.5K
J1040	Injection, methylprednisolone acetate, 80 mg	740	$10	$7.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$50	$5.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	80	$40	$3.3K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$170	$2.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	100	$20	$2.2K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	50	$40	$2.1K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Pain And Headache Center, LLC — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

17 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…	74	490	680	$260	$1M
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…	84	440	580	$170	$458.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	44	50	940	$70	$294.9K
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	15	20	1,180	$120	$266K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	136	210	160	$230	$148.2K
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	10	70	$250	$67.4K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	4	10	190	$290	$61.4K
64494	In this add–on procedure, 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…	5	10	30	$270	$58.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	22	30	80	$100	$53.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	21	30	340	$50	$45.8K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Balch	AK	Physical Medicine & Rehabilitation Physician	$157.7K	$0
Joanna Walls	AK	Family Nurse Practitioner	$84K	$0
Mary Nettlow	AK	Physical Medicine & Rehabilitation Physician	$82K	$0
James Price	AK	Pain Medicine (Anesthesiology) Physician	$80.2K	$0
Timothy Miller	AK	Family Medicine Physician	$66.7K	$0
Tamara Brothers Mcneil	AK	Medical Physician Assistant	$58.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Services For Children & Adults	AK	Developmentally Disabled Services Day Training Agency	$0	$34.2M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$30.7M
Mat - Su Health Services Inc.	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Set Free Alaska, Inc.	AK	Substance Abuse Rehabilitation Facility	$0	$21.5M
Hope Community Resources Inc	AK	Respite Care	$0	$19.3M
Community Medical Services Montana Private LLC	AK	Methadone Clinic	$395.9K	$18.9M
Alaska Home Care	AK	Home Health Agency	$0	$14.1M
True North Recovery Inc	AK	Community/Behavioral Health Agency	$0	$11.5M
Pediatric Dentistry Of Alaska	AK	Dental Clinic/Center	$0	$11.4M
Backcountry Therapeutics LLC	AK	Occupational Therapist	$0	$11M

Pain And Headache Center, LLC — Billing Profile & Reimbursement Data

Sign up for Pain And Headache Center, LLC — Billing Profile & Reimbursement Data policy alerts

Pain And Headache Center, LLC — Billing Profile & Reimbursement Data

Sign up for Pain And Headache Center, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References