This provider averages 60 services per working day
Based on 150.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.4M 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 | $1.1K | $282.78 | 4.05x | $863.81 | $1.7M | 32.9K | 18.7K |
| 2015 | $1.2K | $315.15 | 3.90x | $915.32 | $1.8M | 30.9K | 18.2K |
| 2016 | $1.6K | $372.89 | 4.20x | $1.2K | $1.6M | 14.6K | 8.3K |
| 2017 | $1.7K | $414.73 | 4.20x | $1.3K | $1.5M | 13.8K | 7.8K |
| 2018 | $1.7K | $417.97 | 3.97x | $1.2K | $1.6M | 15.7K | 8.4K |
| 2019 | $1.5K | $391.03 | 3.76x | $1.1K | $1.5M | 12.8K | 7.3K |
| 2020 | $1.6K | $431.22 | 3.76x | $1.2K | $1.0M | 7.9K | 5.5K |
| 2021 | $1.9K | $472.88 | 3.96x | $1.4K | $740.4K | 5.6K | 3.9K |
| 2022 | $1.6K | $436.74 | 3.77x | $1.2K | $932.2K | 7.3K | 5.0K |
| 2023 | $1.7K | $424.52 | 3.94x | $1.2K | $1.0M | 9.1K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 261 | $1.5M | $5.6K | 3.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.6K | $1.4M | $85.00 | 3.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 24.4K | $1.4M | $55.92 | 4.24x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 234 | $1.3M | $5.6K | 3.87x |
| G0480 | Drug test def 1-7 classes | 7.4K | $805.2K | $108.41 | 3.08x |
| 80307 | Testing for presence of drug | 10.4K | $691.3K | $66.64 | 3.90x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.8K | $502.8K | $105.47 | 6.18x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 152 | $488.2K | $3.2K | 3.87x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.8K | $444.2K | $240.61 | 2.49x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.9K | $368.7K | $126.36 | 3.97x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 3.6K | $352.0K | $96.82 | 3.10x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $241.5K | $104.37 | 2.84x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 2.6K | $236.2K | $89.42 | 3.27x |
| G0481 | Drug test def 8-14 classes | 1.7K | $222.4K | $130.57 | 3.14x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 29 | $164.2K | $5.7K | 4.25x |
| 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 | 2.1K | $163.2K | $77.41 | 3.07x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.5K | $151.4K | $43.76 | 7.52x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 26 | $148.7K | $5.7K | 3.82x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.3K | $140.6K | $111.49 | 3.17x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.7K | $132.4K | $80.07 | 3.75x |
This provider submits charges 3.89 times higher than what Medicare actually pays.
A markup ratio of 3.89x means for every $100 Medicare pays, this provider initially charges $389. 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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