This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $408.33 | $125.64 | 3.25x | $282.69 | $785.0K | 7.2K | 2.4K |
| 2015 | $408.33 | $124.29 | 3.29x | $284.04 | $801.1K | 7.6K | 2.4K |
| 2016 | $383.94 | $104.48 | 3.67x | $279.46 | $799.1K | 7.6K | 3.0K |
| 2017 | $390.90 | $100.17 | 3.90x | $290.73 | $818.8K | 8.5K | 3.4K |
| 2018 | $370.83 | $102.62 | 3.61x | $268.21 | $900.6K | 8.8K | 3.4K |
| 2019 | $392.86 | $122.16 | 3.22x | $270.70 | $897.5K | 7.3K | 3.0K |
| 2020 | $356.25 | $116.64 | 3.05x | $239.61 | $715.8K | 6.0K | 2.4K |
| 2021 | $465.46 | $173.69 | 2.68x | $291.77 | $825.8K | 5.6K | 2.4K |
| 2022 | $498.68 | $199.80 | 2.50x | $298.88 | $838.9K | 5.4K | 2.4K |
| 2023 | $499.03 | $186.46 | 2.68x | $312.57 | $759.5K | 5.1K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.9K | $2.3M | $87.35 | 2.00x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 8.2K | $1.8M | $214.70 | 2.56x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 5.8K | $956.0K | $164.12 | 3.96x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 5.8K | $503.6K | $86.48 | 3.76x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.0K | $472.5K | $78.52 | 4.48x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 2.2K | $394.5K | $177.06 | 3.67x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.5K | $318.3K | $211.10 | 3.08x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 3.9K | $286.1K | $74.00 | 4.39x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 454 | $228.0K | $502.16 | 1.75x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 2.2K | $203.8K | $91.53 | 3.83x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $143.5K | $86.32 | 2.90x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.3K | $130.5K | $98.08 | 3.67x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 1.5K | $123.2K | $80.31 | 4.36x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 454 | $116.5K | $256.54 | 2.60x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 586 | $76.7K | $130.89 | 2.10x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 94 | $46.6K | $495.75 | 2.21x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 481 | $39.5K | $82.07 | 3.05x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 94 | $25.7K | $273.21 | 2.91x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 427 | $23.7K | $55.51 | 3.15x |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 104 | $18.0K | $173.17 | 4.91x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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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