Pain Treatment Centers of America

What Pain Treatment Centers of America does

Pain Treatment Centers of America (PTCOA) is a privately held, comprehensive pain management practice founded in August 2014 in Little Rock, Arkansas, by Drs. Ronald Tilley and Meraj Siddiqui. Originally launched as Advanced Pain Treatment Associates (APTA) and later rebranded, PTCOA operates 17 clinic locations and 10 CMS-approved ambulatory surgery centers across Arkansas, Mississippi, and Texas, supported by over 300 employees and more than 50 healthcare providers with combined pain management experience exceeding 300 years. The practice self-identifies as the region's largest fully comprehensive pain management platform.

PTCOA delivers interventional pain management through minimally invasive procedures including nerve blocks, epidural steroid injections, radiofrequency ablation, spinal cord stimulators, intrathecal pain pumps, and kyphoplasty. It was the first practice in Arkansas to offer endoscopic spine procedures (Endoscopic Medial Branch Transection, Interlaminar Endoscopic Discectomy, and Transforaminal Endoscopic Discectomy) under a technology partnership with Arthrex. The practice operates CLIA/COLA-certified high-complexity laboratories in-house, owns Class C operating-room ambulatory surgery centers with pre/post-operative beds and on-site MRI/X-ray, and offers physical therapy (including osteopractic techniques such as dry needling and Pain Neuroscience Education), behavioral health services, neurosurgery, and Suboxone medication-assisted treatment for opioid use disorder.

Revenue is generated primarily through insurance-reimbursed patient care across Medicare, Medicaid, Tricare, United Healthcare, Cigna, Aetna, BlueCross BlueShield, QualChoice, and Blue Advantage, supplemented by a published self-pay price list and a Financial Assistance Program. PTCOA employs a physician referral-driven go-to-market model supported by a Rapid Referral Form, direct patient outreach across 17 locations, a mobile app for patient engagement, a Prognocis-powered patient portal, and digital content channels including a blog and educational website. Leadership includes CEO Bill McCrary alongside founder-physicians Dr. Siddiqui and Dr. Tilley. The company is privately held with no disclosed external investors, funding rounds, or parent entity in the source data.

Name

Pain Treatment Centers of America

Legal name

Pain Treatment Centers of America

Website

https://ptcoa.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

101–250 employees

Short description

Pain Treatment Centers of America is a privately held, comprehensive pain management practice operating 17 clinics and 10 CMS-approved ambulatory surgery centers across Arkansas, Mississippi, and Texas, delivering interventional pain management, neurosurgery, physical therapy, behavioral health, and in-house laboratory services to chronic pain patients.

Ownership category

akta.pro rank

Product category

Pain Management Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Outpatient Mental Health and Substance Abuse Centers (621420)

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

Keywords

• Interventional pain management
• Ambulatory surgery centers
• Chronic pain treatment
• Physical therapy services
• Neurosurgery procedures

Headquarters

HQ city

Little Rock

HQ country

United States

HQ region

North America

Offices17 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Care Services: Revenue generated from interventional pain management procedures, clinic visits, and ambulatory surgery center services. PTCOA accepts all major insurance carriers including Medicare, Medicaid, and all government expansion program insurances. They also offer self-pay options with a published self-pay price list.
2. Procedure-Based Revenue: Revenue from minimally invasive pain treatment procedures including nerve blocks, epidural steroid injections, radiofrequency ablation, spinal cord stimulators, intrathecal pain pumps, kyphoplasty, and other interventional treatments. Insurance pre-certification is provided as a courtesy.
3. Physical Therapy Services: Revenue from osteopractic physical therapy services including dry needling, joint mobilization, and rehabilitation treatments. Accepts outside referrals with PT orders from PCP.
4. Suboxone/Medication-Assisted Treatment: Revenue from Suboxone treatment for opioid addiction recovery, a medication-assisted treatment (MAT) program offered at specific locations.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels7 records

Core offering

Pain Treatment Centers of America (PTCOA) is a fully comprehensive pain management practice providing interventional pain management through minimally invasive procedures (nerve blocks, epidural steroid injections, radiofrequency ablation, spinal cord stimulators, intrathecal pain pumps), supported by 10 ambulatory surgery centers for same-day procedures, osteopractic physical therapy, neurosurgery including endoscopic spine procedures, behavioral health services, and medication-assisted Suboxone treatment. The practice operates across 17 clinic and surgery center locations in Arkansas, Mississippi, and Texas, serving patients with chronic pain conditions.

Product overview

Pain Treatment Centers of America (PTCOA) is a fully comprehensive pain management practice organized as a unified healthcare platform combining interventional pain management, 10 ambulatory surgery centers, physical therapy, neurosurgery with endoscopic spine procedures (first in Arkansas), behavioral health services, Suboxone treatment, and CLIA-certified lab services. The core offering is interventional pain management with minimally invasive procedures (nerve blocks, injections, ablations, stimulators), supplemented by in-house surgery centers for same-day procedures and physical therapy for rehabilitation. The company operates 17 clinic and surgery center locations across Arkansas, Mississippi, and Texas, employing over 50 healthcare providers with over 300 years of combined pain management experience.

Differentiator

Problem solved

Functional benefit

Products and services

• Interventional Pain Management Minimally invasive pain treatment procedures including nerve blocks, epidural steroid injections, radiofrequency ablation, spinal cord stimulators, intrathecal pain pumps, and kyphoplasty performed by trained physicians with IV sedation monitored by anesthesiologists using fluoroscopic/x-ray guidance. Targeted at patients with chronic pain conditions not relieved by conservative treatments.
• Ambulatory Surgery Centers 10 state and federal licensed, CMS-approved Ambulatory Surgery Centers designed for same-day surgical and pain management procedures without overnight stays. Facilities feature Class C operating rooms with approximately 10 preoperative and postoperative beds each, staffed by trained surgical teams and CRNAs across Arkansas and Mississippi.
• Physical Therapy and Rehabilitation Osteopractic physical therapy services treating soft tissue injuries, strains, tears, and musculoskeletal conditions. Includes dry needling, HVLAT joint mobilization, Instrument-Assisted Soft Tissue Mobilization (IASTM), and Pain Neuroscience Education (PNE) program, available at Little Rock and Searcy locations.
• Neurosurgery Minimally invasive spine and neurological surgical procedures including microdiscectomy, hemilaminectomy, kyphoplasty, sacroiliac fusion, spinal cord stimulator trials/implants, intrathecal pain pumps, and endoscopic spine procedures covering lumbar, thoracic, and cervical surgeries.
• Behavioral Health Services Mental health and behavioral support services integrated into pain management care to address psychological aspects of chronic pain conditions, offered across PTCOA's clinic network.
• Suboxone Treatment Medication-assisted treatment (MAT) for opioid addiction recovery using Suboxone (buprenorphine/naloxone) to reduce cravings, lower abuse risks, and support addiction treatment alongside behavioral therapy, offered at specific PTCOA locations including North Little Rock and Texarkana.
• PTCOA Mobile App Mobile application for patients providing appointment scheduling, medical records access, provider messaging, vitals tracking, and secure communication, with encrypted data transmission for protected health information.

Quantifiable outcome

• Pain level reduction from '10' to '1' reported after medial branch blocks
• +1 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

Feature4 records

Partnerships

One partnership is on record.

• ArthrexcoreTechnology or IntegrationArthrex is a technology partner for PTCOA's endoscopic spine procedures. PTCOA is the first in Arkansas to offer Endoscopic Medial Branch Nerve Transection, Interlaminar Endoscopic Discectomy, and Transforaminal Endoscopic Discectomy using Arthrex technology and resources.

Scale indicators7 records

Recent moves11 records

Expansion highlights6 records

Broad incumbents

• US Anesthesia Partners (USAP): Nationwide anesthesiology and perioperative services platform that supplies CRNAs and anesthesiologists to ASCs and hospitals, including pain-focused facilities. Comparable as a partner/supplier for PTCOA's IV-sedation-monitored procedures.
• Tenet Healthcare / United Surgical Partners International (USPI): Major hospital and ambulatory surgery operator whose USPI division has been aggressively consolidating ASCs, including pain and spine centers. Comparable as a potential acquirer and competitor for outpatient interventional volumes.
• HCA Healthcare: Largest U.S. for-profit hospital system with significant outpatient and ASC capacity, including pain management service lines in markets adjacent to PTCOA's footprint. Represents the upper bound of competitive and consolidation pressure.
• Surgery Partners: Large publicly-traded ASC operator and surgical services provider that competes for outpatient pain procedure volume and physician relationships. Relevant as both a potential ASC partner and a competitive threat to PTCOA's surgery center footprint.

Emerging players

• Apollo Pain Management: Growing pain management group offering interventional procedures and minimally invasive spine treatments. Comparable in service mix but at a smaller scale, making it an emerging regional competitor in adjacent geographies.

Direct peers

• Advanced Pain Management (APM): Multi-site interventional pain practice with ASCs, PT, and chronic pain rehabilitation services. Operates in overlapping geographies and serves a similar patient base of chronic pain sufferers referred by PCPs and specialists.
• U.S. Pain & Spine Institute: Multi-state interventional pain practice delivering nerve blocks, epidural injections, spinal cord stim trials, and regenerative therapies across clinics and ASCs. Directly comparable to PTCOA in clinical scope and the physician-ownership-to-private-equity transition path.
• National Spine & Pain Centers (NSPC): One of the largest interventional pain management networks in the U.S., offering similar minimally invasive procedures, ASCs, and multi-state clinic coverage. NSPC competes directly with PTCOA's core offering of nerve blocks, spinal cord stimulators, and radiofrequency ablations, but at materially greater scale and with PE backing.
• Premier Pain & Spine Institute: Regional pain management practice offering interventional procedures, physical therapy, and behavioral health integration—matching PTCOA's holistic stack. Comparable in size and physician-led operating model.

Regional players

• Tennessee Pain Consultants: Mid-South pain management group offering interventional procedures and PT. Operates in a different geography but with a nearly identical service menu and rural/regional patient mix.

Market position

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/PTCOAmerica

Compliance3 records

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 Pain Treatment Centers of America