This provider's $12.4M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 939% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 121% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $672.97 | $81.04 | 8.30x | $591.93 | $223.4K | 4.0K | 1.8K |
| 2015 | $732.06 | $100.52 | 7.28x | $631.54 | $288.1K | 4.2K | 1.8K |
| 2016 | $770.12 | $102.37 | 7.52x | $667.75 | $341.6K | 5.0K | 2.1K |
| 2017 | $693.23 | $95.15 | 7.29x | $598.08 | $400.1K | 5.7K | 2.4K |
| 2018 | $676.28 | $103.09 | 6.56x | $573.19 | $484.8K | 6.9K | 3.4K |
| 2019 | $628.24 | $106.21 | 5.92x | $522.03 | $818.5K | 10.5K | 5.4K |
| 2020 | $705.25 | $127.25 | 5.54x | $578.00 | $1.8M | 16.8K | 7.9K |
| 2021 | $647.84 | $126.66 | 5.11x | $521.18 | $2.6M | 21.9K | 10.2K |
| 2022 | $693.55 | $142.77 | 4.86x | $550.78 | $3.1M | 27.0K | 11.7K |
| 2023 | $870.61 | $148.02 | 5.88x | $722.59 | $2.3M | 22.9K | 10.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.1K | $2.8M | $112.17 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.5K | $1.2M | $66.34 | 2.14x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 5.4K | $1.1M | $196.60 | 3.54x |
| 80307 | Testing for presence of drug | 13.4K | $820.4K | $61.39 | 4.09x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 3.2K | $771.3K | $244.63 | 3.53x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.9K | $611.9K | $213.20 | 3.20x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.0K | $453.6K | $228.15 | 4.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.7K | $404.0K | $149.58 | 2.11x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.9K | $396.2K | $204.11 | 7.21x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 2.2K | $391.6K | $175.61 | 6.23x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 2.4K | $374.6K | $153.71 | 3.27x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 2.7K | $302.0K | $112.04 | 3.03x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $239.6K | $214.11 | 3.26x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.8K | $188.6K | $107.16 | 6.97x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 878 | $184.3K | $209.91 | 7.78x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 452 | $180.8K | $400.08 | 5.46x |
| 20553 | Injections of trigger points in 3 or more muscles | 2.9K | $168.4K | $57.27 | 7.80x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.5K | $147.3K | $98.83 | 5.31x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 1.2K | $144.3K | $118.94 | 1.28x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 2.8K | $129.7K | $46.29 | 4.27x |
This provider submits charges 3.75 times higher than what Medicare actually pays.
A markup ratio of 3.75x means for every $100 Medicare pays, this provider initially charges $375. 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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