This provider averages 54 services per working day
Based on 133.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.8M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2314% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 229% 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 | $361.10 | $67.70 | 5.33x | $293.40 | $93.1K | 1.5K | 662 |
| 2015 | $565.44 | $116.87 | 4.84x | $448.57 | $306.5K | 3.2K | 1.4K |
| 2016 | $500.60 | $115.55 | 4.33x | $385.05 | $595.5K | 7.0K | 2.9K |
| 2017 | $519.13 | $110.28 | 4.71x | $408.85 | $796.3K | 10.2K | 3.8K |
| 2018 | $445.99 | $107.40 | 4.15x | $338.59 | $1.6M | 15.5K | 5.0K |
| 2019 | $440.76 | $104.51 | 4.22x | $336.25 | $2.2M | 20.0K | 4.9K |
| 2020 | $464.06 | $117.78 | 3.94x | $346.28 | $2.2M | 19.1K | 4.4K |
| 2021 | $414.63 | $91.41 | 4.54x | $323.22 | $1.9M | 16.0K | 3.5K |
| 2022 | $353.98 | $80.73 | 4.38x | $273.25 | $1.8M | 17.0K | 4.7K |
| 2023 | $323.62 | $99.95 | 3.24x | $223.67 | $2.2M | 24.2K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 19.0K | $4.6M | $241.40 | 2.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 28.6K | $2.6M | $92.27 | 3.23x |
| 80307 | Testing for presence of drug | 23.2K | $1.4M | $62.11 | 2.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 5.2K | $681.9K | $132.27 | 3.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.9K | $653.4K | $59.96 | 3.11x |
| 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 | 2.0K | $387.1K | $194.50 | 2.06x |
| 96132 | Evaluation of neuropsychological test, first hour | 3.5K | $382.2K | $109.21 | 3.57x |
| 96130 | Evaluation of psychological test, first hour | 3.5K | $345.7K | $99.23 | 3.69x |
| 10022 | Fine needle aspiration using imaging guidance | 2.8K | $329.7K | $118.59 | 2.11x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.9K | $293.4K | $157.92 | 3.76x |
| 77002 | Fluoroscopic guidance for insertion of needle | 2.2K | $187.6K | $86.50 | 3.92x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 467 | $158.1K | $338.49 | 3.02x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 3.1K | $156.6K | $49.75 | 8.03x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 945 | $144.0K | $152.36 | 4.34x |
| 20553 | Injections of trigger points in 3 or more muscles | 2.3K | $111.8K | $49.04 | 3.71x |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 3.5K | $111.6K | $32.02 | 3.28x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 896 | $96.1K | $107.23 | 4.87x |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 3.3K | $93.3K | $28.52 | 3.05x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 940 | $73.1K | $77.82 | 6.31x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 510 | $70.2K | $137.68 | 2.56x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. 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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