Commonwealth Pain & Spine

What Commonwealth Pain & Spine does

Commonwealth Pain & Spine is a private, for-profit chronic pain management practice founded around 2014 by physicians Kyle Young and Jason Lewis and headquartered in Louisville, Kentucky. The practice operates more than 30 clinic locations across Kentucky, Indiana, Ohio, Illinois, Tennessee, South Carolina, and North Carolina, and positions itself as the region's largest pain management provider. Its service portfolio spans interventional pain procedures (including Botox injections, Intracept basivertebral nerve ablation, MILD minimally invasive lumbar decompression, kyphoplasty, radiofrequency nerve ablation, neurostimulation including spinal cord and dorsal root ganglion stimulation, nerve blocks, and viscosupplementation), diagnostic services (lumbar discography, psychological pain assessment), chronic care management for Medicare beneficiaries with multiple chronic conditions, occupational medicine / workers' compensation services, and an active clinical research program participating in trials sponsored by Curonix (FREEDOM1) and Boston Scientific (IMPROVE). The technology stack relies on imaging-guided interventional techniques (fluoroscopy, ultrasound) and an exclusive patient-facing mobile app, My Pain Solution, for symptom tracking, exercise delivery, appointment management, and care team communication, with a comprehensive care model branded as the Complete Care Program.

The company generates revenue predominantly through fee-for-service healthcare billing paid by commercial insurance plans (Aetna, Anthem BCBS, Cigna, Humana, United Healthcare), Medicare, and Medicaid, with the practice operating as in-network across most major payers in each operating state. A secondary revenue stream comes from workers' compensation insurance for occupational medicine cases, and a recurring monthly cadence stream is generated through Chronic Care Management services billed to Medicare. The practice also receives research-related revenue as a clinical trial site. Patient acquisition is sales-led and primarily driven by physician referrals coordinated through a dedicated New Patient Scheduling team, supplemented by direct self-referrals via the company website (mypainsolution.com), employer/insurer referrals for occupational medicine, and patient testimonials. Marketing channels emphasize content marketing, patient testimonials, and the proprietary mobile app for engagement. The practice is physician-led, with co-founders Kyle Young and Jason Lewis maintaining operating roles alongside a CEO (Jeff Ellison) and Director of Clinical Research (Avery Davenport), and it is privately held with no disclosed institutional investors, parent company, or capital structure.

Name

Commonwealth Pain & Spine

Legal name

Commonwealth Pain & Spine

Website

https://mypainsolution.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

101–250 employees

Short description

Commonwealth Pain & Spine is a private, physician-founded chronic pain management practice operating 30+ clinics across Kentucky, Indiana, Ohio, Illinois, Tennessee, South Carolina, and North Carolina, delivering interventional procedures, Chronic Care Management, workers' compensation services, clinical research, and a proprietary patient mobile app.

Ownership category

akta.pro rank

Product category

Pain Management Healthcare Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Pain Management Clinics (Interventional & Medical) (HLAFABAH)

akta.pro secondary industries

Pain Management & Interventional Procedure Centers (HLAFAIAH), Pain Management (Spine & Musculoskeletal) (HLAKALAM), Pain Medicine (Interventional/Neuropathic Pain) (HLAKAIAM), Chronic Pain Rehabilitation & Functional Restoration (HSADAIAJ)

Keywords

• Chronic pain management
• Interventional pain procedures
• Workers compensation medicine
• Minimally invasive spine care
• Neuromodulation therapy

Headquarters

HQ city

Louisville

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Healthcare Services - Insurance: Commonwealth Pain & Spine generates revenue primarily through billable healthcare services paid by insurance companies. They are in-network providers with most major insurance plans including Aetna, Anthem BCBS, Cigna, Humana, United Healthcare, Medicare, and Medicaid across their operating states.
2. Workers' Compensation Services: Dedicated occupational medicine department providing evaluation, treatment, and resolution of work-related injuries. Revenue generated through workers' compensation insurance claims from employers and insurers.
3. Chronic Care Management (CCM): CCM service for existing Medicare patients with two or more chronic conditions. Includes continuous relationship with dedicated healthcare professional, 24/7 access, and comprehensive care planning.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Commonwealth Pain & Spine is a regional healthcare practice that diagnoses and treats chronic pain through a comprehensive care model integrating interventional procedures (such as spinal injections, radiofrequency ablation, neurostimulation, kyphoplasty, and MILD), chronic care management, medication management, psychological assessment, and physical rehabilitation. The practice supplements its clinical services with a proprietary mobile application (My Pain Solution) for patient engagement, symptom tracking, and remote exercise guidance.

Product overview

Commonwealth Pain & Spine operates as a regional healthcare provider offering a unified service portfolio anchored by the Complete Care Program—a comprehensive pain management approach combining physician-led care teams, interventional treatments, chronic care management, and educational resources. The provider supplements its core program with a proprietary patient-facing mobile app (My Pain Solution) for remote engagement and exercise tracking. Services span injections (bursa, epidural, facet joint, hip, knee, sacroiliac, shoulder, trigger point), procedures (Botox, Intracept, Kyphoplasty, MILD, Lumbar Discography, Nerve Ablation, Neurostimulation), medication management, psychological assessment, and specialty programs including Clinical Research and Occupational Medicine. The company treats conditions across the pain spectrum including arthritis, back/neck pain, cancer pain, CRPS, degenerative disc disease, headaches, sciatica, spinal stenosis, and work-related injuries, serving patients across Kentucky, Indiana, Ohio, Illinois, Tennessee, South Carolina, and North Carolina through more than 30 clinic locations.

Differentiator

Problem solved

Functional benefit

Brands

• Complete Care Program: The company's comprehensive, multifaceted pain relief and management strategy that integrates physician-led care teams, interventional treatments, chronic care management, educational resources, and support for mental and physical wellbeing.
• My Pain Solution App

Products and services

• Complete Care Program A comprehensive, multifaceted pain management program combining physician-led care teams, interventional treatments, chronic care management, educational resources, and mental/physical wellbeing support under one coordinated approach.
• My Pain Solution Mobile App State-of-the-art exclusive mobile application that allows Commonwealth Pain & Spine patients to access diagnosis and treatment information, perform custom at-home exercises, communicate with care teams, manage appointments, and track health improvements.
• Botox Injections Minimally invasive Botox injections for chronic pain conditions including chronic tension headaches, migraines, neck pain, cervical dystonia, and temporomandibular joint dysfunction.
• Intracept Procedure A minimally invasive outpatient procedure that uses radiofrequency energy to target and heat the basivertebral nerve for relief from chronic vertebrogenic lower back pain.
• Pain Injections Targeted pain-relief injections (bursa, epidural steroid, facet joint, hip, knee, sacroiliac, shoulder, and trigger point injections) administered for bursitis, herniated discs, spinal stenosis, arthritis, and degenerative joint disease.
• Kyphoplasty Minimally invasive procedure for treating vertebral compression fractures by restoring vertebra size and height using a balloon tamp and acrylic bone cement.
• Lumbar Discography Diagnostic procedure that injects sterile liquid into spinal discs to trigger and pinpoint the source of chronic back pain.
• Medication Management Coordinated care service that manages patient medications in collaboration with pharmacists, including anticoagulation management and pharmacogenomics for personalized medication selection and dosing.
• MILD (Minimally Invasive Lumbar Decompression) Non-surgical procedure that relieves pressure on spinal nerve roots by removing small pieces of bone or ligaments from vertebrae to address spinal stenosis.
• Nerve Ablation (Radiofrequency Ablation) Minimally invasive procedure using heat to destroy nerve fibers responsible for sending chronic pain signals to the brain, providing relief for back, neck, and arthritic joint pain.
• Nerve Blocks Injections targeting specific nerves with pain-relief anesthetic for diagnostic and therapeutic purposes, treating chronic pain in face, arms, neck, back, legs, and buttocks.
• Neurostimulation Implantable device treatment delivering low-voltage electrical currents to disrupt pain signals, including spinal cord stimulation and dorsal root ganglion stimulation for chronic spine-related pain.
• Psychological Pain Assessment Comprehensive psychological assessment identifying mental and emotional factors contributing to chronic pain, including evaluation for anger, depression, suicidal thoughts, addiction potential, and cognitive dysfunction.
• Selective Nerve Root Block Diagnostic and therapeutic injection targeting specific spinal nerves with anesthetic and steroid medications to pinpoint the origin of back and neck pain.
• Sympathetic Blocks Injections targeting nerve clusters (ganglions) with anesthetics and corticosteroids to disrupt pain signals for conditions including CRPS, postherpetic neuralgia, and phantom limb pain.
• Viscosupplementation for Knee Pain

Quantifiable outcome

• Botox injections can reduce headache frequency by up to 50%
• +3 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• CuronixcoreStrategic or Co-development PartnerClinical trial sponsor for the FREEDOM1 study - a double-blinded, randomized controlled trial of knee pain utilizing sub-threshold peripheral nerve stimulation. Commonwealth Pain & Spine serves as the research site with Kelby Hutcheson, MD as Primary Investigator and Avery Davenport as Point of Contact.
• Boston ScientificcoreStrategic or Co-development PartnerClinical trial sponsor for the IMPROVE study (Intracept Minimally-invasive Procedure for Vertebrogenic Back Pain). Commonwealth Pain & Spine serves as the research site with Shawn Milburn, MD as Primary Investigator at their Lexington, KY location.

Scale indicators3 records

Recent moves8 records

Expansion highlights5 records

Emerging players

• Hinge Health: Digital musculoskeletal and chronic pain platform sold to employers and health plans; competes on the conservative end of the pain continuum and could divert upstream referrals away from in-person interventional clinics like Commonwealth.
• Sword Health: Virtual physical therapy and digital MSK pain program sold through employers and payors; an emerging alternative for chronic back/joint pain that pressures demand for in-clinic PT and conservative pain management services in Commonwealth's referral base.

Broad incumbents

• HCA Healthcare: One of the largest U.S. hospital operators, offering pain management and interventional spine services within owned facilities; a deep-pocketed incumbent that competes for referrals and commercial payor leverage in overlapping markets.
• Select Medical Holdings: Operator of specialty hospitals, outpatient rehab clinics and Concentra occupational medicine — overlapping with both Commonwealth's interventional pain offering and its dedicated workers' compensation / occupational medicine channel.
• Surgery Partners: National ASC platform with a growing footprint in interventional pain and spine procedures; competes for the same referring physicians and outpatient pain volumes that drive Commonwealth's clinic revenue.
• Tenet Healthcare (USPI): Large hospital and ambulatory surgery center operator whose USPI division runs pain management-capable ASCs across the U.S., competing for outpatient interventional procedures and physician referral flows in Commonwealth's geographies.
• Encompass Health: National inpatient rehabilitation provider whose services often intersect with chronic pain patients post-procedure; provides an alternative downstream care pathway that can substitute for some of Commonwealth's ongoing chronic care management.

Direct peers

• Clearway Pain Solutions: Multi-state interventional pain management group offering a comparable suite of services (epidural steroid injections, radiofrequency ablation, spinal cord stimulation, kyphoplasty) and treating chronic pain conditions analogous to Commonwealth's Complete Care Program.
• National Spine & Pain Centers: One of the largest interventional pain management practice groups in the United States, operating multiple clinic sites across the Mid-Atlantic and Southeast with a similar portfolio of injections, ablations, neurostimulation and spinal procedures — directly comparable scale and service mix to Commonwealth Pain & Spine.
• Pain Management Associates: Regional physician-owned interventional pain practice providing injections, nerve blocks, neurostimulation and medication management across multiple outpatient locations — a close analog of Commonwealth's physician-led, multi-clinic operating model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Commonwealth Pain & Spine