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.
Notable: Payments increased 53% 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 | $392.73 | $80.09 | 4.90x | $312.64 | $417.5K | 7.6K | 3.7K |
| 2015 | $450.27 | $91.76 | 4.91x | $358.51 | $428.3K | 7.6K | 3.4K |
| 2016 | $447.49 | $85.47 | 5.24x | $362.02 | $492.7K | 8.7K | 3.6K |
| 2017 | $470.53 | $87.75 | 5.36x | $382.78 | $528.7K | 9.1K | 3.6K |
| 2018 | $436.46 | $85.13 | 5.13x | $351.33 | $556.3K | 9.3K | 3.5K |
| 2019 | $397.78 | $83.71 | 4.75x | $314.07 | $467.5K | 8.4K | 2.9K |
| 2020 | $430.41 | $112.98 | 3.81x | $317.43 | $715.2K | 9.6K | 2.9K |
| 2021 | $407.09 | $120.40 | 3.38x | $286.69 | $821.0K | 10.7K | 3.1K |
| 2022 | $355.16 | $78.54 | 4.52x | $276.62 | $614.4K | 10.0K | 2.6K |
| 2023 | $376.84 | $85.55 | 4.40x | $291.29 | $596.9K | 9.9K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.1K | $574.5K | $63.26 | 3.02x |
| 77002 | Fluoroscopic guidance for insertion of needle | 4.7K | $433.8K | $91.41 | 2.79x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $399.2K | $91.91 | 3.03x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.2K | $375.1K | $172.30 | 4.93x |
| Q4206 | Fluid flow or fluid gf, 1 cc | 200 | $314.6K | $1.6K | 1.33x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.7K | $224.8K | $134.14 | 6.71x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.0K | $216.0K | $210.55 | 3.77x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $206.2K | $96.02 | 5.73x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 1.9K | $205.8K | $106.19 | 3.77x |
| 27095 | Injection procedure for X-ray imaging of hip under anesthesia | 846 | $205.0K | $242.32 | 2.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $176.0K | $123.62 | 2.59x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.6K | $169.4K | $103.96 | 2.88x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.8K | $165.5K | $93.23 | 5.90x |
| 27369 | Injection of contrast for imaging of knee joint | 1.0K | $141.8K | $137.71 | 4.36x |
| 23350 | Injection of dye for X-ray imaging of shoulder joint | 1.1K | $129.8K | $121.05 | 4.09x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 649 | $106.9K | $164.75 | 5.16x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 4.7K | $103.2K | $21.76 | 4.14x |
| 73040 | Radiological supervision and interpretation X-ray of shoulder joint | 1.1K | $102.5K | $95.19 | 5.20x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 2.4K | $101.5K | $42.12 | 11.85x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 513 | $96.8K | $188.63 | 4.21x |
This provider submits charges 4.4 times higher than what Medicare actually pays.
A markup ratio of 4.4x means for every $100 Medicare pays, this provider initially charges $440. 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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