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 458% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 317% in 2022
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 | $342.81 | $111.60 | 3.07x | $231.21 | $276.6K | 3.4K | 1.7K |
| 2015 | $363.98 | $123.22 | 2.95x | $240.76 | $243.8K | 3.0K | 1.5K |
| 2016 | $247.12 | $84.82 | 2.91x | $162.30 | $220.1K | 3.0K | 1.5K |
| 2017 | $228.31 | $73.88 | 3.09x | $154.43 | $150.9K | 2.4K | 1.1K |
| 2018 | $222.88 | $67.03 | 3.33x | $155.85 | $119.5K | 2.1K | 772 |
| 2019 | $180.58 | $61.84 | 2.92x | $118.74 | $147.7K | 2.5K | 1.1K |
| 2020 | $234.52 | $59.96 | 3.91x | $174.56 | $108.7K | 2.1K | 1.4K |
| 2021 | $284.55 | $72.92 | 3.90x | $211.63 | $182.8K | 2.4K | 1.2K |
| 2022 | $210.93 | $63.60 | 3.32x | $147.33 | $763.0K | 6.8K | 949 |
| 2023 | $237.89 | $75.93 | 3.13x | $161.96 | $1.5M | 13.4K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 5.8K | $1.2M | $197.14 | 3.29x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 6.0K | $782.4K | $130.84 | 2.68x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.4K | $365.7K | $49.34 | 3.33x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.2K | $365.0K | $70.05 | 3.53x |
| 77401 | Radiation treatment delivery, superficial | 5.6K | $166.0K | $29.79 | 3.26x |
| 77427 | Radiation treatment management, 5 treatments | 1.1K | $151.9K | $144.13 | 3.19x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 555 | $86.0K | $155.00 | 3.30x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 420 | $74.0K | $176.22 | 3.21x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 147 | $61.7K | $419.54 | 2.36x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.2K | $52.6K | $42.64 | 3.80x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 233 | $41.2K | $176.65 | 3.42x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 530 | $37.6K | $70.96 | 3.61x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 411 | $37.2K | $90.48 | 2.67x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 681 | $36.0K | $52.87 | 4.34x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 282 | $28.9K | $102.52 | 3.60x |
| 77336 | Continuing radiation therapy consultation per week | 439 | $27.3K | $62.11 | 2.98x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 682 | $25.3K | $37.16 | 3.50x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 137 | $24.2K | $176.65 | 2.18x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 233 | $20.7K | $88.77 | 3.03x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 45 | $19.0K | $421.27 | 2.38x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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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