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

Why is the Medicaid comparison limited to Arizona 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. Arizona (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 Mds Inc (NPI 1649407180)

Field	Value
Entity Type	Organization
Organization	Pain Mds Inc
Address	2525 W Carefree Hwy Ste 134
City	Phoenix
State	AZ
ZIP	85085
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 11, 2009

Payer Source	Total Paid
Medicare	$283.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	10	$12,320	$147.8K
64628	The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.	10	$7,650	$99.5K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	40	$540	$22.1K
64633	In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	30	$580	$14.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Pain Mds Inc — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64628	9	20	10	$4,880	$78K
64635	142	210	60	$390	$30.3K
22612	46	50	20	$1,130	$25K
64633	69	140	30	$380	$13.2K

Nearby Providers

Other providers in the same ZIP code as Pain Mds Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Kinds	AZ	Family Nurse Practitioner	$123.9M	$0
Honorhealth	AZ	General Acute Care Hospital	$0	$8M
Ascend Behavioral Health And Wellness,llc	AZ	Mental Illness Community Based Residential Treatment Facility	$0	$7.1M
Steven Werner	AZ	Adult Reconstructive Orthopaedic Surgery Physician	$335K	$0
Thomas Lee	AZ	Dermatology Physician	$215.6K	$0
Jennifer Aronica	AZ	Dermatology Physician	$154.4K	$0
Fleny Varghese	AZ	Neurology Physician	$44.9K	$0

Pain Mds Inc — Billing Profile & Reimbursement Data

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Pain Mds Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References