This provider's $10.1M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $650.99 | $315.12 | 2.07x | $335.87 | $1.1M | 13.0K | 7.3K |
| 2015 | $290.60 | $80.07 | 3.63x | $210.53 | $939.3K | 12.8K | 7.2K |
| 2016 | $381.17 | $104.74 | 3.64x | $276.43 | $1.1M | 13.3K | 8.3K |
| 2017 | $670.69 | $233.59 | 2.87x | $437.10 | $1.3M | 15.2K | 9.3K |
| 2018 | $700.95 | $259.09 | 2.71x | $441.86 | $1.3M | 14.6K | 8.6K |
| 2019 | $901.72 | $360.91 | 2.50x | $540.81 | $1.2M | 12.5K | 7.3K |
| 2020 | $384.19 | $112.60 | 3.41x | $271.59 | $775.0K | 9.3K | 5.6K |
| 2021 | $660.87 | $219.35 | 3.01x | $441.52 | $803.2K | 7.3K | 4.1K |
| 2022 | $727.35 | $263.29 | 2.76x | $464.06 | $753.6K | 7.0K | 4.2K |
| 2023 | $545.90 | $126.91 | 4.30x | $418.99 | $797.8K | 8.9K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 29.4K | $1.8M | $61.92 | 1.99x |
| 77002 | Fluoroscopic guidance for insertion of needle | 7.9K | $699.2K | $88.02 | 2.10x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 4.3K | $657.9K | $153.50 | 2.61x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.2K | $640.7K | $202.00 | 3.15x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $546.6K | $179.67 | 3.16x |
| G0483 | Drug test def 22+ classes | 2.0K | $480.9K | $238.40 | 1.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.2K | $476.6K | $91.44 | 2.00x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 72 | $439.5K | $6.1K | 1.98x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 7.5K | $429.1K | $57.23 | 2.36x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.8K | $329.3K | $182.05 | 3.20x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.5K | $308.9K | $211.29 | 1.98x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $281.3K | $93.37 | 3.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $273.6K | $130.58 | 2.13x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.0K | $266.0K | $88.36 | 2.07x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.3K | $259.1K | $194.07 | 4.03x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 932 | $245.4K | $263.31 | 8.54x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 2.6K | $174.2K | $67.81 | 4.40x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.8K | $167.0K | $93.95 | 3.38x |
| 62311 | Injections of substances into lower or sacral spine | 982 | $139.2K | $141.75 | 2.47x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 19 | $123.9K | $6.5K | 1.57x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. This is higher than the national average.
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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.
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