⚠️ This provider averages 243 services per working day — physically unusual for an individual practitioner
Based on 364.1K total services over 6 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.5M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Averaging 243 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 482% in 2016
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 | $409.36 | $77.52 | 5.28x | $331.84 | $676.4K | 16.9K | 11.3K |
| 2015 | $261.16 | $50.79 | 5.14x | $210.37 | $1.4M | 51.1K | 29.5K |
| 2016 | $311.50 | $60.74 | 5.13x | $250.76 | $8.1M | 122.0K | 91.2K |
| 2017 | $583.94 | $111.37 | 5.24x | $472.57 | $12.2M | 137.3K | 86.8K |
| 2018 | $246.26 | $48.87 | 5.04x | $197.39 | $3.1M | 36.6K | 30.1K |
| 2019 | $267.13 | $51.74 | 5.16x | $215.39 | $11.1K | 227 | 161 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 31.6K | $7.0M | $221.61 | 3.41x |
| G0482 | Drug test def 15-21 classes | 33.7K | $6.6M | $196.17 | 3.08x |
| 80307 | Testing for presence of drug | 48.2K | $3.7M | $75.94 | 3.16x |
| 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 | 25.0K | $1.9M | $77.27 | 3.08x |
| G0481 | Drug test def 8-14 classes | 8.9K | $1.3M | $144.62 | 3.12x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 3.7K | $361.2K | $96.65 | 3.19x |
| 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 | 2.8K | $316.0K | $112.06 | 3.07x |
| 84403 | Testosterone (hormone) level | 7.3K | $248.7K | $34.22 | 3.07x |
| 84144 | Progesterone (reproductive hormone) level | 7.2K | $199.2K | $27.67 | 3.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $161.9K | $70.34 | 5.55x |
| 82533 | Cortisol (hormone) measurement | 7.2K | $156.2K | $21.62 | 4.16x |
| 82670 | Estradiol (hormone) level | 4.1K | $153.3K | $36.99 | 3.11x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 7.4K | $148.3K | $20.01 | 3.10x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 6.0K | $134.1K | $22.28 | 3.10x |
| 82627 | Dehydroepiandrosterone (DHEA-S) hormone level | 4.4K | $130.6K | $29.44 | 3.09x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 420 | $124.8K | $297.25 | 4.43x |
| 83525 | Insulin measurement | 7.2K | $109.3K | $15.16 | 3.23x |
| 83789 | Mass spectrometry (laboratory testing method) | 4.0K | $94.7K | $23.97 | 3.04x |
| 82626 | Dehydroepiandrosterone (DHEA) hormone level | 2.7K | $92.3K | $33.58 | 3.34x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 516 | $87.3K | $169.19 | 6.49x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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