This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 6961% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1615% 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 | $877.74 | $93.18 | 9.42x | $784.56 | $13.2K | 155 | 123 |
| 2015 | $775.00 | $62.94 | 12.31x | $712.06 | $225.9K | 3.4K | 1.3K |
| 2016 | $798.09 | $67.77 | 11.78x | $730.32 | $159.2K | 2.3K | 1.2K |
| 2017 | $685.41 | $94.78 | 7.23x | $590.63 | $513.9K | 8.4K | 4.7K |
| 2018 | $364.74 | $98.11 | 3.72x | $266.63 | $925.8K | 15.3K | 7.9K |
| 2019 | $286.78 | $105.14 | 2.73x | $181.64 | $1.1M | 17.2K | 8.7K |
| 2020 | $219.86 | $91.25 | 2.41x | $128.61 | $226.1K | 3.2K | 2.5K |
| 2021 | $298.75 | $117.05 | 2.55x | $181.70 | $446.3K | 6.0K | 3.8K |
| 2022 | $1.1K | $351.99 | 3.23x | $786.57 | $904.9K | 8.7K | 5.2K |
| 2023 | $703.63 | $215.37 | 3.27x | $488.26 | $930.3K | 10.7K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.9K | $1.2M | $82.91 | 3.60x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.6K | $550.3K | $215.28 | 4.47x |
| 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 | 1.6K | $394.6K | $241.48 | 2.07x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 865 | $334.8K | $387.03 | 3.32x |
| 80307 | Testing for presence of drug | 3.8K | $250.5K | $66.10 | 2.40x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.2K | $229.6K | $192.62 | 3.36x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.3K | $218.7K | $96.59 | 4.43x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $180.3K | $118.00 | 3.86x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 916 | $180.2K | $196.72 | 3.92x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 855 | $167.3K | $195.72 | 3.38x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 857 | $156.9K | $183.04 | 2.89x |
| 22514 | Treatment of broken lower spine bone with placement of stabilizing device | 29 | $132.6K | $4.6K | 3.51x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 153 | $122.8K | $802.89 | 3.19x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 344 | $115.9K | $336.84 | 3.73x |
| 22513 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | 21 | $98.9K | $4.7K | 3.42x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 911 | $93.5K | $102.65 | 4.15x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 636 | $85.7K | $134.79 | 2.16x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 405 | $80.8K | $199.39 | 4.17x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 795 | $76.4K | $96.15 | 5.46x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 7.1K | $66.0K | $9.32 | 2.76x |
This provider submits charges 3.57 times higher than what Medicare actually pays.
A markup ratio of 3.57x means for every $100 Medicare pays, this provider initially charges $357. 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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