This provider's $5.7M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 140% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% in 2019
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 | $227.14 | $73.89 | 3.07x | $153.25 | $405.0K | 10.1K | 3.8K |
| 2015 | $335.82 | $94.41 | 3.56x | $241.41 | $451.9K | 10.0K | 4.7K |
| 2016 | $378.59 | $147.30 | 2.57x | $231.29 | $428.4K | 5.7K | 2.7K |
| 2017 | $358.43 | $133.57 | 2.68x | $224.86 | $345.8K | 4.8K | 2.4K |
| 2018 | $419.77 | $137.30 | 3.06x | $282.47 | $330.4K | 4.2K | 2.4K |
| 2019 | $703.29 | $169.04 | 4.16x | $534.25 | $525.9K | 4.9K | 2.7K |
| 2020 | $568.52 | $142.02 | 4.00x | $426.50 | $650.9K | 6.8K | 3.5K |
| 2021 | $782.70 | $187.45 | 4.18x | $595.25 | $813.0K | 8.4K | 4.1K |
| 2022 | $571.85 | $160.36 | 3.57x | $411.49 | $795.8K | 8.4K | 4.1K |
| 2023 | $567.06 | $151.41 | 3.75x | $415.65 | $971.3K | 10.9K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.4K | $689.9K | $55.75 | 3.19x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.3K | $646.4K | $88.61 | 4.07x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.2K | $466.9K | $399.44 | 3.34x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.7K | $365.7K | $220.94 | 3.76x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $291.3K | $188.51 | 3.92x |
| G0481 | 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 | 1.7K | $261.1K | $154.33 | 2.63x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 313 | $246.9K | $788.77 | 3.83x |
| 80307 | Testing for presence of drug | 3.1K | $200.6K | $65.40 | 2.70x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.1K | $175.0K | $153.67 | 3.47x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1.6K | $151.6K | $96.88 | 1.34x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $146.4K | $99.62 | 3.80x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 664 | $137.4K | $206.92 | 3.83x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.5K | $127.6K | $86.49 | 4.44x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 312 | $124.1K | $397.81 | 3.42x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 979 | $120.3K | $122.91 | 3.16x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 598 | $113.0K | $188.96 | 2.92x |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 1.6K | $98.0K | $63.22 | 3.82x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 175 | $96.2K | $549.99 | 4.17x |
| G0482 | 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 | 437 | $85.5K | $195.54 | 2.48x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 644 | $68.5K | $106.37 | 3.90x |
This provider submits charges 3.44 times higher than what Medicare actually pays.
A markup ratio of 3.44x means for every $100 Medicare pays, this provider initially charges $344. 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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