This provider's $9.8M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2020
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 | $396.72 | $105.57 | 3.76x | $291.15 | $1.3M | 10.9K | 3.3K |
| 2015 | $349.31 | $93.62 | 3.73x | $255.69 | $1.1M | 10.3K | 3.6K |
| 2016 | $330.70 | $85.83 | 3.85x | $244.87 | $1.1M | 10.3K | 3.3K |
| 2017 | $350.32 | $93.87 | 3.73x | $256.45 | $1.2M | 10.8K | 3.7K |
| 2018 | $298.45 | $102.48 | 2.91x | $195.97 | $1.0M | 6.9K | 2.3K |
| 2019 | $315.39 | $109.75 | 2.87x | $205.64 | $685.2K | 7.0K | 3.2K |
| 2020 | $442.45 | $163.23 | 2.71x | $279.22 | $1.0M | 6.5K | 2.9K |
| 2021 | $487.87 | $187.11 | 2.61x | $300.76 | $982.9K | 5.6K | 2.3K |
| 2022 | $421.45 | $169.04 | 2.49x | $252.41 | $685.4K | 4.8K | 2.2K |
| 2023 | $454.63 | $172.56 | 2.63x | $282.07 | $642.1K | 4.2K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 7.7K | $2.3M | $294.87 | 2.69x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 4.5K | $1.6M | $349.28 | 2.27x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.8K | $1.0M | $146.96 | 3.90x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 2.6K | $955.0K | $369.74 | 2.63x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 5.6K | $828.6K | $148.39 | 2.23x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 4.5K | $723.3K | $160.23 | 2.26x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.7K | $507.7K | $75.44 | 4.39x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 2.6K | $487.6K | $185.68 | 3.45x |
| 64640 | Destruction of peripheral nerve or branch | 2.9K | $236.2K | $80.52 | 4.13x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 2.5K | $229.4K | $90.80 | 3.62x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 860 | $126.1K | $146.58 | 3.39x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 580 | $112.4K | $193.74 | 2.82x |
| 64624 | Destruction of genicular nerve branches of knee by injection using imaging guidance | 269 | $86.1K | $320.19 | 2.54x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.3K | $77.2K | $33.64 | 2.58x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 674 | $62.8K | $93.13 | 2.59x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 580 | $58.9K | $101.52 | 2.69x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 472 | $47.6K | $100.77 | 2.73x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 509 | $46.7K | $91.82 | 2.62x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.2K | $36.4K | $31.08 | 7.99x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 454 | $34.1K | $75.10 | 2.86x |
This provider submits charges 2.89 times higher than what Medicare actually pays.
A markup ratio of 2.89x means for every $100 Medicare pays, this provider initially charges $289. 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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