This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Their average markup ratio of 9.85x is significantly above the specialty median of 5.1x.
AI-generated analysis based on Medicare payment data.
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 | $693.71 | $83.56 | 8.30x | $610.15 | $867.5K | 13.2K | 6.9K |
| 2015 | $700.69 | $78.89 | 8.88x | $621.80 | $874.2K | 12.3K | 6.7K |
| 2016 | $740.22 | $81.88 | 9.04x | $658.34 | $834.7K | 11.3K | 6.5K |
| 2017 | $701.26 | $88.21 | 7.95x | $613.05 | $786.6K | 10.7K | 6.2K |
| 2018 | $806.60 | $93.89 | 8.59x | $712.71 | $741.3K | 9.9K | 6.0K |
| 2019 | $1.1K | $91.98 | 11.88x | $1.0K | $782.7K | 9.5K | 6.5K |
| 2020 | $2.6K | $299.79 | 8.66x | $2.3K | $851.4K | 8.0K | 4.9K |
| 2021 | $2.7K | $227.33 | 11.74x | $2.4K | $821.5K | 8.1K | 4.8K |
| 2022 | $2.6K | $288.68 | 9.08x | $2.3K | $800.9K | 7.8K | 4.8K |
| 2023 | $1.9K | $108.87 | 17.40x | $1.8K | $635.5K | 6.9K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 7.7K | $1.3M | $164.56 | 9.01x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 4.3K | $990.4K | $228.89 | 12.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.6K | $794.6K | $54.29 | 3.04x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 5.2K | $526.0K | $101.22 | 14.85x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 4.6K | $373.5K | $81.62 | 11.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.0K | $320.1K | $79.16 | 2.78x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 3.5K | $314.7K | $91.06 | 15.41x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 1.2K | $274.8K | $235.27 | 12.02x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 4.9K | $274.0K | $55.65 | 12.35x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.2K | $256.7K | $60.59 | 8.10x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.5K | $228.5K | $148.60 | 7.51x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $216.2K | $115.07 | 3.18x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 44 | $210.6K | $4.8K | 2.83x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.8K | $205.7K | $113.03 | 12.16x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 3.7K | $201.0K | $53.81 | 9.51x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 587 | $153.7K | $261.82 | 18.67x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 25 | $117.9K | $4.7K | 2.88x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 1.1K | $113.2K | $98.76 | 13.86x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.8K | $107.4K | $60.19 | 12.18x |
| 62310 | Injections of substances into upper or middle spine | 1.0K | $102.1K | $101.61 | 9.74x |
This provider submits charges 9.85 times higher than what Medicare actually pays.
A markup ratio of 9.85x means for every $100 Medicare pays, this provider initially charges $985. 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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