Six Valley clinics. Medicare accepted at every one.
Medicare pays for pain care that is medically necessary, and Mountain View Pain Center bills it directly at all six Phoenix-metro clinics. Interventional Pain Management, Physical Therapy, Chiropractic spinal manipulation and, on some plans, Acupuncture for chronic low back pain are all covered benefits — with different rules for each, which is where most of the confusion starts. Call (602) 325-2024.
We verify your Part B, Medigap or Medicare Advantage benefits before your first visit and tell you what the visit will cost, rather than after treatment has started.
Same-week appointments are usually available across the Valley.
Medicare does not treat all four of our services the same way. Knowing which rule applies to you before you book is the difference between a covered visit and a bill you did not expect.
Part B covers office visits, diagnostic work and procedures that are medically necessary — epidural steroid injections, medial branch and nerve blocks, radiofrequency ablation, joint and trigger-point injections, and spinal cord stimulator trials and implants. Medically necessary is the operative phrase: coverage follows the diagnosis and the documented response to what you have already tried, which is why the evaluation comes first. See what Pain Management involves.
Part B covers medically necessary outpatient Physical Therapy, and there is no annual dollar cap on it — the old therapy cap was repealed. Above a per-year threshold your therapist has to attest in the record that the care is still necessary, which is routine. A provider does have to certify that you need therapy, so this is the one service where a physician's sign-off is genuinely part of the process. You pay 20% of the approved amount after your Part B deductible.
This is the one people get wrong most often. Part B covers exactly one thing from a chiropractor: manual manipulation of the spine to correct a subluxation. It does not cover X-rays a chiropractor orders, massage, or acupuncture performed in a chiropractic visit. Those can still be the right care — they are simply not a Medicare benefit, and we will tell you that up front rather than after. See Chiropractic care.
Medicare covers Acupuncture for chronic low back pain only — pain lasting twelve weeks or longer, with no identifiable systemic cause, and not linked to surgery or pregnancy. The benefit runs to twelve sessions in ninety days, with eight more available (twenty in a year) if you are improving; if you are not improving, coverage stops. Whether your particular plan will pay for it here is exactly the kind of thing we check before you come in.
Original Medicare pays 80% of the approved amount for covered outpatient care once you have met your Part B deductible for the year. The remaining 20% is yours. There is no cap on that 20% under Original Medicare on its own, which is the reason most people carry something alongside it.
If you have a Medigap (supplement) policy, it usually picks up most or all of that 20%. If you are on a Medicare Advantage plan, the rules are the plan's rather than Medicare's: co-pays are often fixed per visit, the network matters, and some plans require prior authorization for injections and imaging. We verify which of these you are on before your first visit and tell you what to expect — see the plans we accept.
Pain that has been managed with medication for years, or written off as part of getting older, is usually still worth a proper workup.
Six clinics across the Valley, all reachable on (602) 325-2024:
City pages: Pain Management in Peoria, Glendale, Chandler and Mesa.
Not to be seen. You can request an evaluation directly. Physical Therapy is the exception in practice — Medicare requires a provider to certify that the therapy is necessary, and our physicians can do that at the first visit. Some Medicare Advantage plans have their own referral rules, which we check when we verify your benefits.
Both, along with Medigap supplements. Advantage plans vary a great deal — network, co-pay and prior-authorization rules are set by the plan rather than by Medicare — so tell us which plan you carry when you call and we will check it before you come in.
Under Original Medicare, 20% of the approved amount once your Part B deductible is met, and usually much less if you carry a supplement. Under an Advantage plan it is typically a fixed co-pay. We verify your benefits and tell you the number before your first visit, not after.
No annual dollar cap. Past a yearly threshold your therapist has to document in the record that continued therapy is still medically necessary, which is a normal part of the note rather than an obstacle.
No. The Medicare benefit for Acupuncture covers chronic low back pain and nothing else. We are happy to treat other areas, but that would be self-pay, and we will say so before you book rather than after the claim comes back.
Whichever is easiest to get to — the same Medicare rules apply at all of them. See every Arizona clinic, or call (602) 325-2024 and we will point you to the closest one.
Medicare is accepted at every Mountain View Pain Center clinic in Arizona and Colorado — see Pain Management or the full clinic map.
