This provider's $9.5M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 53% from 2014 to 2023.
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 | $344.58 | $84.67 | 4.07x | $259.91 | $739.1K | 10.6K | 5.4K |
| 2015 | $367.46 | $94.36 | 3.89x | $273.10 | $734.5K | 9.5K | 4.5K |
| 2016 | $658.59 | $195.58 | 3.37x | $463.01 | $962.5K | 11.1K | 5.2K |
| 2017 | $353.01 | $107.10 | 3.30x | $245.91 | $850.5K | 10.9K | 5.3K |
| 2018 | $392.68 | $115.47 | 3.40x | $277.21 | $872.1K | 10.9K | 5.8K |
| 2019 | $368.61 | $116.15 | 3.17x | $252.46 | $1.0M | 12.4K | 6.1K |
| 2020 | $334.30 | $127.32 | 2.63x | $206.98 | $973.0K | 11.8K | 6.0K |
| 2021 | $327.18 | $115.47 | 2.83x | $211.71 | $1.1M | 11.5K | 5.9K |
| 2022 | $366.23 | $128.17 | 2.86x | $238.06 | $1.1M | 10.8K | 5.9K |
| 2023 | $439.64 | $146.82 | 2.99x | $292.82 | $1.1M | 10.8K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 38.8K | $3.2M | $81.32 | 2.80x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.4K | $981.5K | $405.73 | 2.52x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.5K | $879.2K | $196.87 | 3.01x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $546.8K | $185.15 | 2.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.4K | $417.2K | $123.51 | 2.86x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.4K | $415.7K | $176.80 | 2.40x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.8K | $277.0K | $97.24 | 2.48x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.4K | $275.1K | $194.53 | 2.70x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 686 | $268.7K | $391.73 | 2.65x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.1K | $205.5K | $192.57 | 3.16x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.4K | $195.3K | $57.87 | 2.61x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.8K | $174.6K | $94.87 | 2.57x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.3K | $131.6K | $100.85 | 2.55x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 626 | $124.0K | $198.04 | 3.14x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 633 | $122.1K | $192.90 | 2.41x |
| 62369 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump | 1.3K | $106.6K | $84.04 | 3.75x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $95.8K | $76.84 | 3.01x |
| J3490 | Unclassified drugs | 663 | $94.5K | $142.53 | 6.57x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 822 | $81.5K | $99.18 | 2.63x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 168 | $78.1K | $464.76 | 2.81x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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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