DERALD GRICE, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician · CHARLOTTESVILLE, VA
Individual Active NPI 1780656256
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 427 | 1,252 | $603,688 | $151,732 | $115,563 |
| 2023 | 398 | 1,354 | $661,786 | $184,905 | $142,591 |
| 2022 | 434 | 1,390 | $654,395 | $191,531 | $145,689 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 216 | $75 | $60 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 187 | $136 | $103 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 112 | $91 | $63 |
| 20553 | Injection of trigger points, 3 or more muscles | 110 | $35 | $25 |
| 64405 | Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | 84 | $68 | $51 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 53 | $30 | $22 |
| 20610 | Aspiration and/or injection of fluid from large joint | 51 | $52 | $36 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 49 | $260 | $207 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 43 | $573 | $447 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 41 | $45 | $36 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 39 | $216 | $165 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 27 | $92 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ✓ | 0101057941 | VA |
| Pain Medicine Physician | 208VP0000X | 0101057941 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.