This provider's $9.3M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 6.7x is significantly above the specialty median of 5.0x.
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 | $798.69 | $96.51 | 8.28x | $702.18 | $1.0M | 13.7K | 2.6K |
| 2015 | $843.82 | $102.35 | 8.24x | $741.47 | $1.1M | 12.6K | 2.0K |
| 2016 | $875.12 | $125.05 | 7.00x | $750.07 | $979.3K | 8.0K | 1.6K |
| 2017 | $952.46 | $109.60 | 8.69x | $842.86 | $1.2M | 11.4K | 1.7K |
| 2018 | $973.56 | $114.62 | 8.49x | $858.94 | $807.7K | 8.0K | 2.1K |
| 2019 | $2.0K | $103.17 | 19.76x | $1.9K | $843.0K | 8.1K | 2.1K |
| 2020 | $3.8K | $97.36 | 38.97x | $3.7K | $802.5K | 7.8K | 2.0K |
| 2021 | $3.8K | $111.03 | 34.51x | $3.7K | $836.5K | 7.5K | 2.0K |
| 2022 | $3.2K | $97.64 | 32.80x | $3.1K | $751.9K | 8.6K | 2.4K |
| 2023 | $3.8K | $107.49 | 34.97x | $3.7K | $873.3K | 9.2K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 43.6K | $3.8M | $86.70 | 3.99x |
| J3490 | Unclassified drugs | 13.2K | $2.6M | $197.64 | 4.46x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 12.8K | $1.2M | $94.79 | 6.98x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 13.7K | $680.3K | $49.79 | 9.98x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 2.8K | $116.6K | $41.07 | 7.17x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 392 | $95.1K | $242.52 | 14.25x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $88.3K | $80.83 | 5.28x |
| 62350 | Implantation, revision, or repositioning of spinal canal medication catheter | 280 | $87.6K | $312.84 | 23.76x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 789 | $87.4K | $110.80 | 24.08x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 633 | $80.5K | $127.19 | 7.86x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 341 | $67.0K | $196.37 | 32.04x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 537 | $54.9K | $102.28 | 30.58x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 561 | $43.5K | $77.47 | 26.02x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 467 | $36.4K | $78.00 | 19.32x |
| 62311 | Injections of substances into lower or sacral spine | 475 | $32.0K | $67.32 | 10.24x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 253 | $28.6K | $113.05 | 26.29x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 109 | $28.0K | $256.53 | 22.80x |
| 62327 | Insertion of indwelling catheter and administration of substance into spinal canal of lower back lower back using imaging guidance | 269 | $21.5K | $79.99 | 24.89x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 257 | $15.2K | $59.10 | 67.10x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 218 | $11.3K | $51.95 | 63.18x |
This provider submits charges 6.7 times higher than what Medicare actually pays.
A markup ratio of 6.7x means for every $100 Medicare pays, this provider initially charges $670. 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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