This provider's $4.4M in total Medicare payments ranks in the 98th 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 | $190.00 | $96.10 | 1.98x | $93.90 | $334.0K | 5.6K | 3.0K |
| 2015 | $195.86 | $98.85 | 1.98x | $97.01 | $332.3K | 5.6K | 3.1K |
| 2016 | $208.48 | $98.12 | 2.12x | $110.36 | $397.8K | 6.4K | 3.6K |
| 2017 | $185.36 | $97.23 | 1.91x | $88.13 | $459.6K | 7.0K | 3.8K |
| 2018 | $188.63 | $101.09 | 1.87x | $87.54 | $570.0K | 9.1K | 4.5K |
| 2019 | $346.78 | $236.19 | 1.47x | $110.59 | $605.9K | 8.7K | 4.5K |
| 2020 | $195.40 | $124.82 | 1.57x | $70.58 | $393.9K | 6.7K | 3.6K |
| 2021 | $168.93 | $113.07 | 1.49x | $55.86 | $514.1K | 7.7K | 4.3K |
| 2022 | $167.88 | $111.14 | 1.51x | $56.74 | $454.7K | 6.7K | 3.7K |
| 2023 | $186.48 | $125.11 | 1.49x | $61.37 | $377.6K | 5.3K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $616.9K | $450.32 | 1.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $504.6K | $77.86 | 1.61x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.5K | $458.5K | $53.83 | 1.57x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.3K | $268.7K | $204.92 | 1.77x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $238.9K | $205.55 | 1.71x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 632 | $236.8K | $374.69 | 1.66x |
| 80307 | Testing for presence of drug | 3.6K | $226.1K | $62.22 | 1.27x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $160.2K | $114.46 | 1.64x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 883 | $158.1K | $179.01 | 1.93x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 997 | $150.4K | $150.83 | 1.75x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 616 | $111.0K | $180.17 | 1.71x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.3K | $96.5K | $74.83 | 1.44x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.5K | $92.2K | $37.23 | 1.52x |
| L8679 | Implantable neurostimulator, pulse generator, any type | 14 | $91.6K | $6.5K | 1.38x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 477 | $91.4K | $191.69 | 1.87x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 957 | $87.6K | $91.54 | 1.74x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 867 | $83.1K | $95.84 | 1.83x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 376 | $70.4K | $187.33 | 1.44x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 377 | $69.8K | $185.20 | 1.43x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 657 | $62.8K | $95.53 | 1.93x |
This provider submits charges 1.66 times higher than what Medicare actually pays.
A markup ratio of 1.66x means for every $100 Medicare pays, this provider initially charges $166. This is lower 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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