$331.1M in total Medicare payments across 10 years
Procedure 64490 (Injection of upper or middle spine facet joint using imaging guidance, single level) received $331.1M in total Medicare payments.
Across 1.8M services, the average Medicare payment was $179.26 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $28.7M | 165.0K | — |
| 2015 | $31.0M | 180.5K | +8.1% |
| 2016 | $36.9M | 193.8K | +19.0% |
| 2017 | $33.2M | 200.3K | -10.0% |
| 2018 | $35.2M | 211.7K | +6.1% |
| 2019 | $38.8M | 219.4K | +10.1% |
| 2020 | $30.7M | 167.0K | -20.9% |
| 2021 | $32.3M | 172.7K | +5.3% |
| 2022 | $31.3M | 167.2K | -3.3% |
| 2023 | $33.0M | 169.7K | +5.4% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | SC | $164.6K | 622 | $264.58 |
| 2 | Interventional Therapeutics Institute, Llc | Ambulatory Surgical Center | FL | $135.1K | 570 | $237.01 |
| 3 | West Florida Medical Center Clinic Pa | Ambulatory Surgical Center | FL | $105.4K | 444 | $237.35 |
| 4 | Pisa Asc Holdco Llc | Ambulatory Surgical Center | AZ | $91.5K | 305 | $299.92 |
| 5 | Oasis Surgery Center, Lp | Ambulatory Surgical Center | CA | $89.0K | 293 | $303.68 |
| 6 | Harmony Surgery Center, Llc | Ambulatory Surgical Center | CO | $86.0K | 319 | $269.54 |
| 7 | Northridge Outpatient Surgery Center Inc | Ambulatory Surgical Center | CA | $84.2K | 279 | $301.77 |
| 8 | Round Rock Surgery Center Llc | Ambulatory Surgical Center | TX | $83.9K | 330 | $254.38 |
| 9 | Embassy Surgery Center, Llc | Ambulatory Surgical Center | CA | $79.2K | 268 | $295.46 |
| 10 | Lone Tree Surgery Center, Llc | Ambulatory Surgical Center | CO | $75.6K | 274 | $276.01 |
| 11 | Chattanooga Pain Management Center Llc | Ambulatory Surgical Center | TN | $74.3K | 313 | $237.37 |
| 12 | Monterey Peninsula Surgery Center Capitola | Ambulatory Surgical Center | CA | $73.0K | 199 | $367.03 |
| 13 | Norcal Anesthesia And Pain Affiliates, Inc. | Ambulatory Surgical Center | CA | $72.9K | 257 | $283.69 |
| 14 | Murrells Inlet Asc Llc | Ambulatory Surgical Center | SC | $69.9K | 261 | $267.63 |
| 15 | North Naples Surgery Center Llc | Ambulatory Surgical Center | FL | $69.4K | 276 | $251.60 |
| 16 | Central Texas Day Surgery Center Limited Partnership | Ambulatory Surgical Center | TX | $68.4K | 202 | $338.55 |
| 17 | National Surgical Centers Of America Llc | Ambulatory Surgical Center | FL | $68.3K | 254 | $268.74 |
| 18 | Ku Medwest Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | KS | $68.0K | 270 | $251.99 |
| 19 | Congress Medical Surgery Center Llc | Ambulatory Surgical Center | CA | $67.7K | 216 | $313.43 |
| 20 | Madison Surgery Center, Inc. | Ambulatory Surgical Center | WI | $67.0K | 247 | $271.41 |
| 21 | Galileo Surgery Center, Lp | Ambulatory Surgical Center | CA | $66.9K | 203 | $329.71 |
| 22 | Newport Coast Surgery Center, Lp | Ambulatory Surgical Center | CA | $65.6K | 192 | $341.66 |
| 23 | Deschutes Surgery Center, Llc | Ambulatory Surgical Center | OR | $65.6K | 223 | $293.97 |
| 24 | Total Pain Care Llc | Ambulatory Surgical Center | MS | $65.1K | 260 | $250.44 |
| 25 | Apc-Amarillo Surgical Operating Company, Llc | Ambulatory Surgical Center | TX | $64.1K | 267 | $239.89 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| FL | $4.5M | 23.4K | 430 | $10.5K |
| CA | $4.0M | 16.6K | 339 | $11.7K |
| TX | $2.8M | 14.7K | 342 | $8.3K |
| GA | $1.8M | 8.9K | 180 | $9.9K |
| AZ | $1.6M | 8.3K | 163 | $10.0K |
| MD | $1.3M | 5.9K | 120 | $10.5K |
| NY | $1.3M | 6.1K | 161 | $7.8K |
| SC | $853.3K | 4.7K | 77 | $11.1K |
| CO | $819.8K | 4.2K | 90 | $9.1K |
| TN | $811.6K | 4.5K | 85 | $9.5K |
| NJ | $791.6K | 3.5K | 97 | $8.2K |
| PA | $791.5K | 4.2K | 121 | $6.5K |
| VA | $698.0K | 4.1K | 84 | $8.3K |
| OH | $697.1K | 4.2K | 101 | $6.9K |
| IL | $688.0K | 3.7K | 93 | $7.4K |
| LA | $593.3K | 3.3K | 61 | $9.7K |
| IN | $592.6K | 3.1K | 89 | $6.7K |
| MN | $557.1K | 2.8K | 67 | $8.3K |
| OR | $551.0K | 2.5K | 49 | $11.2K |
| MS | $543.2K | 3.1K | 45 | $12.1K |
| WA | $524.1K | 2.7K | 60 | $8.7K |
| NC | $522.2K | 3.1K | 87 | $6.0K |
| MA | $521.8K | 3.0K | 80 | $6.5K |
| NV | $505.4K | 2.3K | 48 | $10.5K |
| AR | $478.0K | 2.6K | 55 | $8.7K |
| OK | $476.8K | 2.8K | 54 | $8.8K |
| MI | $443.1K | 2.4K | 79 | $5.6K |
| AL | $364.3K | 2.3K | 55 | $6.6K |
| KY | $355.5K | 2.0K | 46 | $7.7K |
| WI | $332.0K | 1.9K | 54 | $6.1K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.