This provider's $6.0M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 575% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2017
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 | $304.23 | $86.32 | 3.52x | $217.91 | $180.2K | 2.6K | 1.5K |
| 2015 | $330.92 | $86.68 | 3.82x | $244.24 | $199.4K | 2.6K | 1.6K |
| 2016 | $212.31 | $78.18 | 2.72x | $134.13 | $257.7K | 3.7K | 2.3K |
| 2017 | $271.54 | $102.05 | 2.66x | $169.49 | $403.6K | 5.7K | 3.3K |
| 2018 | $264.31 | $92.93 | 2.84x | $171.38 | $457.9K | 6.8K | 3.7K |
| 2019 | $356.31 | $115.33 | 3.09x | $240.98 | $677.2K | 9.1K | 4.7K |
| 2020 | $384.75 | $119.56 | 3.22x | $265.19 | $639.6K | 8.7K | 4.5K |
| 2021 | $512.23 | $142.28 | 3.60x | $369.95 | $917.1K | 10.4K | 5.2K |
| 2022 | $442.13 | $136.40 | 3.24x | $305.73 | $1.0M | 12.8K | 6.4K |
| 2023 | $431.71 | $128.16 | 3.37x | $303.55 | $1.2M | 16.0K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 22.5K | $1.9M | $85.67 | 3.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.3K | $688.5K | $55.98 | 3.07x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $407.1K | $214.24 | 2.64x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.6K | $298.5K | $115.50 | 3.22x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 748 | $293.7K | $392.63 | 2.48x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $283.0K | $178.86 | 2.23x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.1K | $195.5K | $178.21 | 3.27x |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 5.0K | $160.5K | $31.88 | 3.40x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $150.1K | $96.77 | 2.22x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 736 | $126.2K | $171.46 | 2.72x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 105 | $123.2K | $1.2K | 4.08x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $108.9K | $75.34 | 3.14x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 683 | $101.6K | $148.73 | 2.78x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.3K | $95.6K | $74.89 | 3.03x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.9K | $87.4K | $45.39 | 3.23x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 386 | $71.2K | $184.41 | 2.38x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 863 | $67.9K | $78.65 | 3.07x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 366 | $65.9K | $180.06 | 3.34x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 791 | $65.5K | $82.84 | 3.15x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 1.9K | $64.7K | $33.68 | 3.53x |
This provider submits charges 3.13 times higher than what Medicare actually pays.
A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. 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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