This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 356% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 161% 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 | $117.90 | $65.41 | 1.80x | $52.49 | $181.4K | 3.9K | 2.3K |
| 2015 | $146.40 | $79.67 | 1.84x | $66.73 | $472.7K | 9.3K | 4.3K |
| 2016 | $188.66 | $102.25 | 1.85x | $86.41 | $506.5K | 6.2K | 2.9K |
| 2017 | $201.34 | $113.77 | 1.77x | $87.57 | $752.1K | 8.1K | 4.0K |
| 2018 | $188.85 | $103.28 | 1.83x | $85.57 | $725.3K | 8.7K | 4.7K |
| 2019 | $234.10 | $107.88 | 2.17x | $126.22 | $166.7K | 2.2K | 1.5K |
| 2020 | $255.93 | $111.91 | 2.29x | $144.02 | $430.7K | 6.0K | 3.6K |
| 2021 | $592.95 | $144.75 | 4.10x | $448.20 | $775.8K | 9.8K | 6.0K |
| 2022 | $778.43 | $151.13 | 5.15x | $627.30 | $775.4K | 9.3K | 5.9K |
| 2023 | $593.90 | $116.03 | 5.12x | $477.87 | $827.1K | 10.3K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.6K | $965.3K | $91.33 | 3.18x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.1K | $454.0K | $218.39 | 3.14x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $441.0K | $195.05 | 3.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $423.4K | $65.02 | 4.10x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 866 | $330.7K | $381.91 | 4.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $279.8K | $127.77 | 3.85x |
| G0483 | Drug test def 22+ classes | 1.1K | $242.5K | $226.45 | 1.55x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $227.2K | $100.68 | 3.06x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 943 | $186.4K | $197.69 | 3.22x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $165.8K | $91.97 | 3.37x |
| G0482 | Drug test def 15-21 classes | 848 | $159.4K | $187.93 | 1.72x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 858 | $155.4K | $181.12 | 3.59x |
| 80307 | Testing for presence of drug | 1.6K | $114.6K | $73.63 | 2.72x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $112.2K | $102.37 | 2.06x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 938 | $94.1K | $100.33 | 3.24x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 538 | $89.2K | $165.79 | 4.06x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.0K | $86.6K | $85.88 | 3.45x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 187 | $71.5K | $382.51 | 4.61x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.3K | $65.9K | $49.20 | 3.36x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 666 | $64.6K | $97.02 | 2.60x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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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