This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 6.18x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 137% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $351.75 | $88.98 | 3.95x | $262.77 | $383.1K | 5.2K | 3.0K |
| 2015 | $484.81 | $89.83 | 5.40x | $394.98 | $475.8K | 6.7K | 4.1K |
| 2016 | $748.31 | $101.72 | 7.36x | $646.59 | $665.6K | 10.2K | 5.8K |
| 2017 | $690.49 | $96.47 | 7.16x | $594.02 | $720.8K | 12.1K | 6.6K |
| 2018 | $685.60 | $97.97 | 7.00x | $587.63 | $848.0K | 12.9K | 7.1K |
| 2019 | $670.76 | $96.49 | 6.95x | $574.27 | $951.2K | 14.0K | 7.5K |
| 2020 | $717.49 | $113.93 | 6.30x | $603.56 | $904.7K | 12.5K | 7.1K |
| 2021 | $728.70 | $127.45 | 5.72x | $601.25 | $1.1M | 13.4K | 7.8K |
| 2022 | $735.95 | $122.43 | 6.01x | $613.52 | $976.4K | 12.5K | 7.3K |
| 2023 | $749.75 | $129.53 | 5.79x | $620.22 | $907.4K | 11.5K | 7.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.5K | $1.2M | $184.79 | 6.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.3K | $785.9K | $54.87 | 4.53x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.6K | $714.5K | $156.51 | 6.67x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.8K | $592.7K | $323.54 | 5.55x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.4K | $463.7K | $192.23 | 4.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.5K | $389.5K | $86.37 | 3.37x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 4.3K | $291.8K | $67.23 | 3.72x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 2.1K | $282.6K | $137.04 | 6.60x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.5K | $277.6K | $79.06 | 4.23x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.7K | $274.5K | $161.07 | 7.18x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.8K | $259.3K | $146.92 | 11.12x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 283 | $247.1K | $872.98 | 6.91x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.1K | $234.5K | $75.58 | 11.18x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $211.2K | $193.60 | 4.91x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 645 | $209.2K | $324.34 | 5.47x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 2.1K | $198.8K | $92.65 | 3.24x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.8K | $139.7K | $79.83 | 8.02x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.3K | $98.4K | $76.97 | 10.85x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 618 | $98.3K | $159.09 | 8.57x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $95.0K | $68.77 | 10.21x |
This provider submits charges 6.18 times higher than what Medicare actually pays.
A markup ratio of 6.18x means for every $100 Medicare pays, this provider initially charges $618. 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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