This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 1453% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 415% in 2020
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 | $544.96 | $77.51 | 7.03x | $467.45 | $140.5K | 2.2K | 1.3K |
| 2015 | $618.28 | $89.40 | 6.92x | $528.88 | $173.0K | 2.5K | 1.2K |
| 2016 | $770.02 | $129.20 | 5.96x | $640.82 | $299.0K | 3.6K | 1.9K |
| 2017 | $943.38 | $136.11 | 6.93x | $807.27 | $270.4K | 3.2K | 1.7K |
| 2018 | $939.52 | $145.14 | 6.47x | $794.38 | $301.7K | 3.7K | 1.9K |
| 2019 | $722.29 | $144.59 | 5.00x | $577.70 | $223.5K | 2.0K | 1.7K |
| 2020 | $1.2K | $240.02 | 4.97x | $952.07 | $1.1M | 9.7K | 6.1K |
| 2021 | $1.4K | $240.86 | 5.97x | $1.2K | $1.1M | 9.0K | 5.6K |
| 2022 | $1.1K | $234.37 | 4.73x | $874.70 | $1.2M | 9.3K | 5.4K |
| 2023 | $750.60 | $164.38 | 4.57x | $586.22 | $2.2M | 18.7K | 11.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0481 | Drug test def 8-14 classes | 13.4K | $2.1M | $153.45 | 2.77x |
| 80307 | Testing for presence of drug | 21.6K | $1.3M | $61.06 | 3.59x |
| G0483 | 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 | 2.8K | $678.8K | $242.68 | 2.97x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.9K | $555.3K | $80.07 | 6.65x |
| G0480 | 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 | 4.8K | $534.6K | $112.30 | 2.52x |
| 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 | 1.9K | $375.5K | $195.38 | 2.83x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 142 | $206.4K | $1.5K | 3.87x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 440 | $194.7K | $442.55 | 7.94x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 748 | $93.2K | $124.56 | 6.37x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 451 | $82.9K | $183.72 | 5.82x |
| 62350 | Implantation, revision, or repositioning of spinal canal medication catheter | 242 | $79.6K | $329.08 | 5.65x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 356 | $64.9K | $182.35 | 8.04x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 651 | $64.7K | $99.32 | 6.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 984 | $62.7K | $63.72 | 5.06x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 133 | $60.2K | $452.82 | 7.58x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 280 | $51.4K | $183.42 | 8.51x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 61 | $45.2K | $740.18 | 3.63x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 424 | $40.7K | $95.98 | 5.21x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 254 | $40.2K | $158.12 | 5.70x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 210 | $36.4K | $173.42 | 5.88x |
This provider submits charges 4 times higher than what Medicare actually pays.
A markup ratio of 4x means for every $100 Medicare pays, this provider initially charges $400. 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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