This provider averages 60 services per working day
Based on 151.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
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 | $127.60 | $67.36 | 1.89x | $60.24 | $905.9K | 19.1K | 7.7K |
| 2015 | $134.12 | $67.27 | 1.99x | $66.85 | $1.0M | 24.1K | 10.3K |
| 2016 | $170.87 | $93.17 | 1.83x | $77.70 | $953.4K | 13.4K | 5.5K |
| 2017 | $200.18 | $116.35 | 1.72x | $83.83 | $1.1M | 13.2K | 6.5K |
| 2018 | $207.61 | $116.31 | 1.78x | $91.30 | $1.1M | 13.1K | 6.6K |
| 2019 | $188.15 | $98.00 | 1.92x | $90.15 | $1.3M | 16.9K | 8.1K |
| 2020 | $212.89 | $105.04 | 2.03x | $107.85 | $980.2K | 12.7K | 6.3K |
| 2021 | $240.19 | $114.17 | 2.10x | $126.02 | $1.0M | 12.4K | 6.2K |
| 2022 | $327.02 | $125.44 | 2.61x | $201.58 | $1.1M | 12.1K | 7.5K |
| 2023 | $332.83 | $99.49 | 3.35x | $233.34 | $1.3M | 14.0K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.2K | $2.3M | $91.57 | 2.06x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.9K | $809.8K | $205.59 | 1.93x |
| G0482 | Drug test def 15-21 classes | 3.9K | $746.1K | $189.90 | 2.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.6K | $673.3K | $63.71 | 1.98x |
| G0483 | Drug test def 22+ classes | 2.3K | $522.5K | $228.58 | 1.89x |
| 80307 | Testing for presence of drug | 7.9K | $515.6K | $65.15 | 3.40x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.7K | $493.8K | $132.10 | 2.48x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 2.5K | $355.7K | $140.81 | 1.94x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.6K | $309.7K | $85.80 | 2.04x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 6.1K | $307.3K | $50.72 | 1.97x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 2.7K | $258.8K | $96.44 | 2.64x |
| G0481 | Drug test def 8-14 classes | 1.6K | $249.6K | $152.35 | 3.28x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $243.9K | $182.69 | 2.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $213.6K | $134.44 | 1.93x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.0K | $192.8K | $190.18 | 1.96x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 8.9K | $190.9K | $21.47 | 2.48x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 475 | $159.1K | $334.92 | 2.44x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 7.0K | $128.3K | $18.29 | 2.46x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $126.5K | $95.11 | 2.09x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 1.3K | $102.4K | $77.17 | 1.24x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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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