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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Joseph Cartwright
⚕️
MDIndividual

Joseph Cartwright, M.D.

NPI: 1265659460
St Augustine, FL
10 years of data
Interventional Pain Management
$5.7M
Total Payments
35.5K
Beneficiaries
74.2K
Services
3.44x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$5.7M
Specialty median$206.2K

📋 Key Findings

1Billed $5.7M over 10 years
23.44x markup ratio (above median)
398th percentile in Interventional Pain Management by payments
4Payments surged 59% in 2019
515 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 59% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$227.14$73.893.07x$153.25$405.0K10.1K3.8K
2015$335.82$94.413.56x$241.41$451.9K10.0K4.7K
2016$378.59$147.302.57x$231.29$428.4K5.7K2.7K
2017$358.43$133.572.68x$224.86$345.8K4.8K2.4K
2018$419.77$137.303.06x$282.47$330.4K4.2K2.4K
2019$703.29$169.044.16x$534.25$525.9K4.9K2.7K
2020$568.52$142.024.00x$426.50$650.9K6.8K3.5K
2021$782.70$187.454.18x$595.25$813.0K8.4K4.1K
2022$571.85$160.363.57x$411.49$795.8K8.4K4.1K
2023$567.06$151.413.75x$415.65$971.3K10.9K5.3K

Top Procedures (20)

99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.2x markup
$689.9K
12.4K services$55.75/svc3.19x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.1x markup
$646.4K
7.3K services$88.61/svc4.07x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 3.3x markup
$466.9K
1.2K services$399.44/svc3.34x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 3.8x markup
$365.7K
1.7K services$220.94/svc3.76x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 3.9x markup
$291.3K
1.5K services$188.51/svc3.92x markup
G0481Drug 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
$261.1K
1.7K services$154.33/svc2.63x markup
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose⚠ 3.8x markup
$246.9K
313 services$788.77/svc3.83x markup
80307Testing for presence of drug
$200.6K
3.1K services$65.40/svc2.70x markup
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance⚠ 3.5x markup
$175.0K
1.1K services$153.67/svc3.47x markup
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter
$151.6K
1.6K services$96.88/svc1.34x markup
64494Injections of lower or sacral spine facet joint using imaging guidance⚠ 3.8x markup
$146.4K
1.5K services$99.62/svc3.80x markup
64490Injections of upper or middle spine facet joint using imaging guidance⚠ 3.8x markup
$137.4K
664 services$206.92/svc3.83x markup
64484Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 4.4x markup
$127.6K
1.5K services$86.49/svc4.44x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance⚠ 3.4x markup
$124.1K
312 services$397.81/svc3.42x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 3.2x markup
$120.3K
979 services$122.91/svc3.16x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance
$113.0K
598 services$188.96/svc2.92x markup
G3002Chronic 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⚠ 3.8x markup
$98.0K
1.6K services$63.22/svc3.82x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skin⚠ 4.2x markup
$96.2K
175 services$549.99/svc4.17x markup
G0482Drug 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
$85.5K
437 services$195.54/svc2.48x markup
64491Injections of upper or middle spine facet joint using imaging guidance⚠ 3.9x markup
$68.5K
644 services$106.37/svc3.90x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Established patient office or other outpatient visit, typically 15 minutes12.4K$689.9K$55.753.19x
99214Established patient office or other outpatient, visit typically 25 minutes7.3K$646.4K$88.614.07x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance1.2K$466.9K$399.443.34x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1.7K$365.7K$220.943.76x
64493Injections of lower or sacral spine facet joint using imaging guidance1.5K$291.3K$188.513.92x
G0481Drug 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/ms1.7K$261.1K$154.332.63x
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose313$246.9K$788.773.83x
80307Testing for presence of drug3.1K$200.6K$65.402.70x
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance1.1K$175.0K$153.673.47x
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter1.6K$151.6K$96.881.34x
64494Injections of lower or sacral spine facet joint using imaging guidance1.5K$146.4K$99.623.80x
64490Injections of upper or middle spine facet joint using imaging guidance664$137.4K$206.923.83x
64484Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1.5K$127.6K$86.494.44x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance312$124.1K$397.813.42x
99204New patient office or other outpatient visit, typically 45 minutes979$120.3K$122.913.16x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance598$113.0K$188.962.92x
G3002Chronic 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 tha1.6K$98.0K$63.223.82x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin175$96.2K$549.994.17x
G0482Drug 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/ms437$85.5K$195.542.48x
64491Injections of upper or middle spine facet joint using imaging guidance644$68.5K$106.373.90x

Markup Analysis

Charge-to-Payment Ratio

3.44x

This provider submits charges 3.44 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.44x means for every $100 Medicare pays, this provider initially charges $344. This is higher than the national average.

Location

St Augustine, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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