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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Center Inc (NPI 1740582303)

Field	Value
Entity Type	Organization
Organization	Pain Center Inc
Address	633 N 4th St
City	Boise
State	ID
ZIP	83702
Taxonomy	Pain Clinic/Center
NPI Enumerated	December 2, 2010

Payer Source	Total Paid
Medicaid	$803.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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…	18,850	$40	$678.7K
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.	2,830	$30	$96K
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…	300	$40	$11.7K
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)…	70	$100	$7.7K
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…	500	$10	$4K
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…	30	$120	$3.4K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	110	$20	$2.1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	150	$1	$150
J2250	Injection, midazolam hydrochloride, per 1 mg	10	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Pain Center Inc — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

9 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…	31	670	740	$40	$193.6K
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…	377	620	560	$60	$191.8K
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.	7	30	1,370	$50	$121.7K
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…	124	180	70	$110	$45.6K
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)…	6	10	60	$170	$25.2K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	5	10	110	$30	$10K
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…	9	20	370	$10	$6.4K
J2250	Injection, midazolam hydrochloride, per 1 mg	18	20	1,070	$1	$2.7K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	23	40	180	$1	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pain Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandra Thompson	ID	Pain Medicine (Anesthesiology) Physician	$225.3K	$0
Christopher Vaughan	ID	Interventional Pain Medicine Physician	$102K	$0
Lee Conrad	ID	Physician Assistant	$56.7K	$0
Jillian Vaughan	ID	Family Nurse Practitioner	$49.8K	$0
Alla Osipchuk	ID	Adult Health Clinical Nurse Specialist	$25.5K	$0
Eric Culbertson	ID	Medical Physician Assistant	$13.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$16M
Boise Radiology Group PLLC	ID	Diagnostic Radiology Physician	$0	$5M
Perma Mental Health PLLC	ID	Psychiatry Physician	$0	$3.1M
Access Behavioral Health Services	ID	Developmentally Disabled Services Day Training Agency	$0	$2.8M
Boise Endoscopy Center LLC	ID	Ambulatory Surgical Clinic/Center	$362.9K	$1.8M
Access Behavioral Health Services, Inc	ID	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.9M
Future Public School, Inc.	ID	Local Education Agency (LEA)	$0	$1.8M
Tomorrow's Hope Statellite Services	ID	Developmentally Disabled Services Day Training Agency	$0	$1.1M
Carl Odom	ID	Diagnostic Radiology Physician	$1.1M	$0
Pain Care Center Boise, LLC	ID	Ambulatory Surgical Clinic/Center	$741.8K	$10.4K

Pain Center Inc — Billing Profile & Reimbursement Data

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Pain Center Inc — 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

Nearby Providers

Frequently Asked Questions

References