Physician

Jeffrey Robert Prinsell

According to 2025 Medicare claims, Jeffrey Prinsell (NPI: 1891937934) practices interventional pain management (ipm) in the Columbus, GA-AL market, with the plurality of this provider's patient population coming from Muscogee, GA. This provider's primary affiliated billing organization is THE NEXUS PAIN CENTER OF COLUMBUS LLC (NPI: 1942359906; TIN: 208016802) and primary practice location at 31909-7291.

Prinsell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 681 traditional Medicare patients, billed 4,376 HCPCS/CPT codes, and received $283,906 in Medicare payments. The top billing code was G0481 (Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms). Part D data shows 6,361 prescription claims across 1,226 beneficiaries totaling $269,009 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). DME data shows 32 claims. Open Payments data shows 29 records totaling $758. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $433,390 to $283,906. Similarly, Part D prescription costs have fallen sharply in recent years, from $415,483 to $269,009. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$301K$603K2015 Medicare payment: $433,390 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $473,969 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $502,816 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $602,627 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $560,317 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $489,153 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $457,767 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $249,697 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $247,870 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $283,906 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201567211,309$433,390
20168496,219$473,969
20179246,933$502,816
20181,0198,691$602,627
20191,0758,007$560,317
20201,0277,001$489,153
20211,0096,006$457,767
20226603,438$249,697
20236193,436$247,870
20246814,376$283,906

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$404K$807K2015 Drug cost: $415,483 (USD; Tot_Drug_Cst)2016 Drug cost: $566,730 (USD; Tot_Drug_Cst)2017 Drug cost: $623,731 (USD; Tot_Drug_Cst)2018 Drug cost: $807,241 (USD; Tot_Drug_Cst)2019 Drug cost: $703,962 (USD; Tot_Drug_Cst)2020 Drug cost: $390,891 (USD; Tot_Drug_Cst)2021 Drug cost: $246,740 (USD; Tot_Drug_Cst)2022 Drug cost: $294,789 (USD; Tot_Drug_Cst)2023 Drug cost: $262,635 (USD; Tot_Drug_Cst)2024 Drug cost: $269,009 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156836,186$415,483
20168867,983$566,730
20179568,619$623,731
20181,0849,795$807,241
20191,1399,061$703,962
20201,0356,765$390,891
20219164,963$246,740
20228535,295$294,789
20239415,284$262,635
20241,2266,361$269,009

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$17K$34K2021 Medicare payment: $14,148 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $34,300 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $32,725 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $20,369 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211818$14,148
20224343$34,300
20234141$32,725
20243232$20,369

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms125157$151
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms186238$111
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more211272$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5281,223$61
80307Testing for presence of drug, by chemistry analyzers323486$60

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1,47343,058$44,043
Xtampza ErOxycodone Myristate752,182$35,844
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1,35837,703$29,089
UbrelvyUbrogepant12330$18,813
OxycontinOxycodone Hcl32950$15,135

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L0650Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelfN2020$13,082
L0651Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelfN1212$7,287

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.29$758Boston Scientific Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jeffrey Robert Prinsell?

Tedicare shows public-source Medicare data for Jeffrey Robert Prinsell (NPI 1891937934), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jeffrey Robert Prinsell have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Jeffrey Robert Prinsell?

Jeffrey Robert Prinsell is linked to THE NEXUS PAIN CENTER OF COLUMBUS LLC (billing NPI 1942359906) in the available physician profile data.

Does Jeffrey Robert Prinsell have Open Payments data?

Jeffrey Robert Prinsell has 29 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.