This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 629% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% in 2016
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 | $314.71 | $56.14 | 5.61x | $258.57 | $124.4K | 2.4K | 1.6K |
| 2015 | $279.52 | $76.34 | 3.66x | $203.18 | $99.3K | 1.9K | 1.2K |
| 2016 | $206.93 | $72.63 | 2.85x | $134.30 | $190.9K | 3.9K | 2.3K |
| 2017 | $425.29 | $104.47 | 4.07x | $320.82 | $298.0K | 4.6K | 2.7K |
| 2018 | $373.65 | $92.01 | 4.06x | $281.64 | $318.5K | 5.2K | 3.0K |
| 2019 | $323.59 | $93.46 | 3.46x | $230.13 | $362.7K | 5.8K | 3.1K |
| 2020 | $186.91 | $54.86 | 3.41x | $132.05 | $384.8K | 8.4K | 4.8K |
| 2021 | $229.88 | $86.86 | 2.65x | $143.02 | $480.9K | 9.7K | 3.8K |
| 2022 | $260.38 | $79.41 | 3.28x | $180.97 | $598.5K | 11.1K | 6.8K |
| 2023 | $245.01 | $73.89 | 3.32x | $171.12 | $907.0K | 18.9K | 11.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.9K | $642.8K | $54.12 | 3.45x |
| 80307 | Testing for presence of drug | 8.7K | $541.8K | $62.10 | 3.36x |
| 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 | 1.6K | $316.1K | $193.70 | 2.64x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.0K | $311.3K | $77.62 | 3.57x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.3K | $224.1K | $167.35 | 3.61x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 626 | $220.6K | $352.32 | 3.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $163.5K | $111.85 | 3.53x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 961 | $135.3K | $140.83 | 3.36x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 622 | $108.6K | $174.58 | 3.58x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 554 | $93.5K | $168.77 | 2.91x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 910 | $67.0K | $73.66 | 3.29x |
| 62311 | Injections of substances into lower or sacral spine | 486 | $66.0K | $135.80 | 3.06x |
| 62369 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump | 970 | $64.9K | $66.91 | 3.73x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 159 | $64.0K | $402.71 | 3.08x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 365 | $62.2K | $170.38 | 3.49x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 481 | $60.2K | $125.24 | 3.40x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 273 | $43.0K | $157.45 | 3.37x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 596 | $39.2K | $65.85 | 3.35x |
| J0475 | Injection, baclofen, 10 mg | 246 | $34.7K | $141.24 | 3.15x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 152 | $31.5K | $206.96 | 2.75x |
This provider submits charges 3.39 times higher than what Medicare actually pays.
A markup ratio of 3.39x means for every $100 Medicare pays, this provider initially charges $339. 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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