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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Dikran Torian
⚕️
MDIndividual

Dikran Torian, M.D.

NPI: 1396790861
Rancho Mirage, CA
10 years of data
Interventional Pain Management
$5.6M
Total Payments
31.6K
Beneficiaries
91.0K
Services
4.4x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$5.6M
Specialty median$206.2K

📋 Key Findings

1Billed $5.6M over 10 years
24.4x markup ratio (above median)
398th percentile in Interventional Pain Management by payments
4Payments surged 53% in 2020
515 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $5.6M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 53% in 2020

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$392.73$80.094.90x$312.64$417.5K7.6K3.7K
2015$450.27$91.764.91x$358.51$428.3K7.6K3.4K
2016$447.49$85.475.24x$362.02$492.7K8.7K3.6K
2017$470.53$87.755.36x$382.78$528.7K9.1K3.6K
2018$436.46$85.135.13x$351.33$556.3K9.3K3.5K
2019$397.78$83.714.75x$314.07$467.5K8.4K2.9K
2020$430.41$112.983.81x$317.43$715.2K9.6K2.9K
2021$407.09$120.403.38x$286.69$821.0K10.7K3.1K
2022$355.16$78.544.52x$276.62$614.4K10.0K2.6K
2023$376.84$85.554.40x$291.29$596.9K9.9K2.4K

Top Procedures (20)

99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.0x markup
$574.5K
9.1K services$63.26/svc3.02x markup
77002Fluoroscopic guidance for insertion of needle
$433.8K
4.7K services$91.41/svc2.79x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.0x markup
$399.2K
4.3K services$91.91/svc3.03x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 4.9x markup
$375.1K
2.2K services$172.30/svc4.93x markup
Q4206Fluid flow or fluid gf, 1 cc
$314.6K
200 services$1.6K/svc1.33x markup
27096Injection procedure into sacroiliac joint for anesthetic or steroid⚠ 6.7x markup
$224.8K
1.7K services$134.14/svc6.71x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance⚠ 3.8x markup
$216.0K
1.0K services$210.55/svc3.77x markup
64494Injections of lower or sacral spine facet joint using imaging guidance⚠ 5.7x markup
$206.2K
2.1K services$96.02/svc5.73x markup
73580Radiological supervision and interpretation X-ray of knee joint⚠ 3.8x markup
$205.8K
1.9K services$106.19/svc3.77x markup
27095Injection procedure for X-ray imaging of hip under anesthesia
$205.0K
846 services$242.32/svc2.58x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$176.0K
1.4K services$123.62/svc2.59x markup
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
$169.4K
1.6K services$103.96/svc2.88x markup
64495Injections of lower or sacral spine facet joint using imaging guidance⚠ 5.9x markup
$165.5K
1.8K services$93.23/svc5.90x markup
27369Injection of contrast for imaging of knee joint⚠ 4.4x markup
$141.8K
1.0K services$137.71/svc4.36x markup
23350Injection of dye for X-ray imaging of shoulder joint⚠ 4.1x markup
$129.8K
1.1K services$121.05/svc4.09x markup
99205New patient office or other outpatient visit, typically 60 minutes⚠ 5.2x markup
$106.9K
649 services$164.75/svc5.16x markup
72100X-ray of lower and sacral spine, 2 or 3 views⚠ 4.1x markup
$103.2K
4.7K services$21.76/svc4.14x markup
73040Radiological supervision and interpretation X-ray of shoulder joint⚠ 5.2x markup
$102.5K
1.1K services$95.19/svc5.20x markup
64450Injection of anesthetic agent, other peripheral nerve or branch⚠ 11.8x markup
$101.5K
2.4K services$42.12/svc11.85x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 4.2x markup
$96.8K
513 services$188.63/svc4.21x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Established patient office or other outpatient visit, typically 15 minutes9.1K$574.5K$63.263.02x
77002Fluoroscopic guidance for insertion of needle4.7K$433.8K$91.412.79x
99214Established patient office or other outpatient, visit typically 25 minutes4.3K$399.2K$91.913.03x
64493Injections of lower or sacral spine facet joint using imaging guidance2.2K$375.1K$172.304.93x
Q4206Fluid flow or fluid gf, 1 cc200$314.6K$1.6K1.33x
27096Injection procedure into sacroiliac joint for anesthetic or steroid1.7K$224.8K$134.146.71x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance1.0K$216.0K$210.553.77x
64494Injections of lower or sacral spine facet joint using imaging guidance2.1K$206.2K$96.025.73x
73580Radiological supervision and interpretation X-ray of knee joint1.9K$205.8K$106.193.77x
27095Injection procedure for X-ray imaging of hip under anesthesia846$205.0K$242.322.58x
99215Established patient office or other outpatient, visit typically 40 minutes1.4K$176.0K$123.622.59x
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose1.6K$169.4K$103.962.88x
64495Injections of lower or sacral spine facet joint using imaging guidance1.8K$165.5K$93.235.90x
27369Injection of contrast for imaging of knee joint1.0K$141.8K$137.714.36x
23350Injection of dye for X-ray imaging of shoulder joint1.1K$129.8K$121.054.09x
99205New patient office or other outpatient visit, typically 60 minutes649$106.9K$164.755.16x
72100X-ray of lower and sacral spine, 2 or 3 views4.7K$103.2K$21.764.14x
73040Radiological supervision and interpretation X-ray of shoulder joint1.1K$102.5K$95.195.20x
64450Injection of anesthetic agent, other peripheral nerve or branch2.4K$101.5K$42.1211.85x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance513$96.8K$188.634.21x

Markup Analysis

Charge-to-Payment Ratio

4.4x

This provider submits charges 4.4 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.4x means for every $100 Medicare pays, this provider initially charges $440. This is higher than the national average.

Location

Rancho Mirage, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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