This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 262% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 268% in 2017
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 | $296.68 | $80.57 | 3.68x | $216.11 | $210.0K | 3.5K | 2.3K |
| 2015 | $402.88 | $87.20 | 4.62x | $315.68 | $230.3K | 2.8K | 2.1K |
| 2016 | $352.41 | $71.94 | 4.90x | $280.47 | $158.2K | 2.1K | 1.5K |
| 2017 | $463.11 | $106.41 | 4.35x | $356.70 | $581.9K | 6.8K | 4.7K |
| 2018 | $899.03 | $226.84 | 3.96x | $672.19 | $1.2M | 10.6K | 6.7K |
| 2019 | $1.5K | $370.50 | 4.00x | $1.1K | $1.7M | 13.9K | 9.3K |
| 2020 | $1.6K | $402.79 | 3.90x | $1.2K | $1.5M | 10.1K | 7.4K |
| 2021 | $1.3K | $327.21 | 3.99x | $979.00 | $1.5M | 9.3K | 7.0K |
| 2022 | $1.1K | $199.94 | 5.34x | $868.56 | $1.1M | 7.8K | 5.5K |
| 2023 | $3.8K | $225.84 | 16.75x | $3.6K | $759.7K | 5.4K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 1.9K | $1.2M | $619.96 | 4.42x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 3.2K | $1.0M | $320.93 | 4.00x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.0K | $649.3K | $162.97 | 4.33x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.6K | $608.2K | $52.61 | 4.09x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 113 | $574.9K | $5.1K | 4.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.1K | $566.9K | $112.19 | 4.09x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 3.1K | $441.2K | $140.33 | 4.02x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 71 | $354.9K | $5.0K | 4.09x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.9K | $348.6K | $88.69 | 4.00x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.8K | $299.8K | $171.12 | 5.02x |
| 80307 | Testing for presence of drug | 4.1K | $253.5K | $61.36 | 6.16x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 711 | $249.5K | $350.92 | 3.99x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 2.7K | $232.8K | $86.86 | 2.86x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.1K | $205.7K | $194.95 | 4.41x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.5K | $188.7K | $129.36 | 3.92x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $155.4K | $86.03 | 4.73x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 882 | $137.4K | $155.73 | 15.30x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 689 | $119.3K | $173.10 | 3.89x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 606 | $112.7K | $185.90 | 4.15x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 596 | $107.9K | $180.98 | 5.07x |
This provider submits charges 4.54 times higher than what Medicare actually pays.
A markup ratio of 4.54x means for every $100 Medicare pays, this provider initially charges $454. 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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