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

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

Interventional Spine Pain Consultants, PA (NPI 1699700195)

Field	Value
Entity Type	Organization
Organization	Interventional Spine Pain Consultants, PA
Address	774 Christiana Rd
City	Newark
State	DE
ZIP	19713
Taxonomy	Pain Medicine Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$132.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	670	$100	$65.2K
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…	2,100	$30	$58.8K
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…	150	$30	$4.1K
99443	N/A	190	$10	$2.6K
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…	120	$10	$1.2K
99442	N/A	40	$20	$860
J1030	Injection, methylprednisolone acetate, 40 mg	90	$1	$90
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…	10	$1	$40
1123F	No Summary found for this code	40	$0	$0
4040F	Pneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all…	30	$0	$0

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Interventional Spine Pain Consultants, PA — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

20 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…	195	540	1,100	$40	$185.3K
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…	173	180	220	$90	$101.5K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	3	10	340	$140	$79.7K
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…	4	10	150	$60	$35.8K
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…	3	10	240	$30	$27.6K
99442	N/A	46	70	110	$30	$14.1K
99443	N/A	15	40	100	$10	$4.9K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	4	10	200	$10	$3.7K
J1030	Injection, methylprednisolone acetate, 40 mg	7	10	210	$1	$2K
77003	The provider uses fluoroscopic guidance to place a needle or catheter in the spine or area adjacent to the spinal column to perform procedures to detect the extent or cause of a disease or to treat…	1	10	2,280	$1	$210

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Interventional Spine Pain Consultants, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peter Witherell	DE	Pain Medicine (Anesthesiology) Physician	$337.6K	$0
James Downing	DE	Pain Medicine (Anesthesiology) Physician	$253.1K	$0
Sonia Palermo	DE	Nurse Practitioner	$29K	$0
Patricia Gibbons	DE	Nurse Practitioner	$28.5K	$0
Caitlin Holmes	MD	Medical Physician Assistant	$8.4K	$0

Interventional Spine Pain Consultants, PA — Billing Profile & Reimbursement Data

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Interventional Spine Pain Consultants, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References