This provider averages 58 services per working day
Based on 144.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.4M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Averaging 58 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 385% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 138% in 2015
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 | $426.20 | $118.63 | 3.59x | $307.57 | $341.2K | 3.7K | 2.4K |
| 2015 | $405.73 | $114.47 | 3.54x | $291.26 | $811.1K | 9.2K | 4.8K |
| 2016 | $1.1K | $272.86 | 4.11x | $849.59 | $1.3M | 13.5K | 7.1K |
| 2017 | $1.7K | $390.62 | 4.41x | $1.3K | $1.3M | 13.6K | 7.2K |
| 2018 | $1.9K | $442.30 | 4.21x | $1.4K | $1.7M | 16.0K | 8.5K |
| 2019 | $1.8K | $439.84 | 4.15x | $1.4K | $1.9M | 18.1K | 9.5K |
| 2020 | $1.7K | $425.03 | 3.98x | $1.3K | $2.0M | 18.3K | 9.4K |
| 2021 | $1.6K | $404.45 | 3.93x | $1.2K | $2.3M | 19.9K | 10.5K |
| 2022 | $1.7K | $361.19 | 4.72x | $1.3K | $2.0M | 17.9K | 10.2K |
| 2023 | $1.9K | $397.22 | 4.74x | $1.5K | $1.7M | 14.2K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 35.7K | $3.0M | $85.28 | 3.79x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 9.1K | $1.9M | $206.89 | 4.35x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 3.4K | $1.2M | $356.98 | 4.20x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 168 | $871.7K | $5.2K | 4.01x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 141 | $723.5K | $5.1K | 4.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.9K | $698.0K | $118.50 | 4.15x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.6K | $695.6K | $193.23 | 5.04x |
| 80307 | Testing for presence of drug | 8.5K | $569.8K | $66.73 | 3.72x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 3.4K | $544.6K | $160.28 | 3.83x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 1.4K | $474.8K | $331.79 | 3.89x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 2.1K | $445.5K | $212.55 | 4.92x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.6K | $427.8K | $76.15 | 3.73x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.6K | $365.7K | $102.25 | 4.85x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 3.8K | $337.5K | $88.62 | 4.33x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 2.5K | $257.7K | $101.28 | 4.81x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.0K | $256.8K | $36.46 | 3.68x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 1.4K | $232.4K | $162.32 | 3.55x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.2K | $232.0K | $195.64 | 3.40x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.4K | $231.7K | $160.24 | 4.76x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $229.5K | $54.56 | 3.96x |
This provider submits charges 4.16 times higher than what Medicare actually pays.
A markup ratio of 4.16x means for every $100 Medicare pays, this provider initially charges $416. 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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