This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 1140% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 304% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $378.93 | $101.96 | 3.72x | $276.97 | $92.0K | 1.3K | 1.0K |
| 2019 | $336.50 | $93.54 | 3.60x | $242.96 | $371.8K | 5.3K | 3.2K |
| 2020 | $313.57 | $87.87 | 3.57x | $225.70 | $537.9K | 7.6K | 4.2K |
| 2021 | $358.85 | $106.15 | 3.38x | $252.70 | $952.5K | 11.6K | 5.9K |
| 2022 | $1.1K | $294.52 | 3.76x | $812.31 | $1.3M | 13.1K | 6.9K |
| 2023 | $1.3K | $310.45 | 4.10x | $963.33 | $1.1M | 10.0K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.1K | $969.2K | $96.30 | 2.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.0K | $787.9K | $264.75 | 4.65x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.9K | $336.0K | $115.90 | 3.59x |
| 22513 | Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | 46 | $222.1K | $4.8K | 4.00x |
| 22514 | Treatment of broken lower spine bone with placement of stabilizing device | 35 | $168.0K | $4.8K | 4.00x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 788 | $167.7K | $212.79 | 3.25x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $164.2K | $126.12 | 3.29x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 363 | $158.9K | $437.78 | 3.72x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 697 | $147.5K | $211.59 | 3.27x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 680 | $141.6K | $208.30 | 3.71x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 359 | $76.3K | $212.41 | 3.16x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 652 | $71.2K | $109.24 | 3.66x |
| 27095 | Injection procedure for X-ray imaging of hip under anesthesia | 236 | $62.1K | $263.08 | 2.40x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 286 | $62.0K | $216.82 | 4.01x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 375 | $61.5K | $164.02 | 3.13x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.0K | $51.1K | $49.96 | 2.96x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 402 | $44.8K | $111.51 | 3.57x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 520 | $42.2K | $81.17 | 3.56x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 267 | $41.9K | $156.81 | 3.66x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 307 | $39.3K | $128.06 | 2.79x |
This provider submits charges 3.61 times higher than what Medicare actually pays.
A markup ratio of 3.61x means for every $100 Medicare pays, this provider initially charges $361. 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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