This provider's $5.8M 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 50% in 2022
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 | $437.27 | $92.04 | 4.75x | $345.23 | $707.5K | 9.5K | 7.2K |
| 2015 | $444.29 | $91.92 | 4.83x | $352.37 | $732.4K | 8.1K | 6.1K |
| 2016 | $474.32 | $95.26 | 4.98x | $379.06 | $707.0K | 7.3K | 5.3K |
| 2017 | $468.01 | $99.64 | 4.70x | $368.37 | $658.1K | 6.1K | 4.5K |
| 2018 | $616.81 | $125.69 | 4.91x | $491.12 | $574.3K | 5.4K | 3.7K |
| 2019 | $628.79 | $141.96 | 4.43x | $486.83 | $658.5K | 6.2K | 4.3K |
| 2020 | $636.21 | $161.39 | 3.94x | $474.82 | $542.5K | 4.8K | 3.5K |
| 2021 | $463.44 | $122.54 | 3.78x | $340.90 | $286.7K | 2.6K | 2.1K |
| 2022 | $484.50 | $130.83 | 3.70x | $353.67 | $430.9K | 3.9K | 2.8K |
| 2023 | $523.64 | $114.01 | 4.59x | $409.63 | $502.2K | 4.1K | 2.9K |
| 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 | 6.1K | $1.2M | $197.21 | 5.91x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 3.2K | $984.6K | $312.17 | 3.50x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.4K | $606.4K | $179.03 | 4.57x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 3.1K | $437.2K | $139.82 | 3.41x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.2K | $310.8K | $96.36 | 4.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.9K | $290.1K | $49.33 | 3.10x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 1.5K | $217.1K | $141.08 | 3.52x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.0K | $213.6K | $204.63 | 5.31x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $201.4K | $95.84 | 4.56x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.9K | $149.9K | $78.07 | 2.79x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.1K | $144.8K | $135.56 | 5.51x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 671 | $122.7K | $182.86 | 4.27x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 305 | $96.4K | $316.11 | 3.73x |
| 72148 | MRI scan of lower spinal canal | 907 | $93.4K | $103.03 | 9.49x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $77.4K | $76.22 | 2.61x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 600 | $57.9K | $96.52 | 4.18x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 42 | $45.7K | $1.1K | 4.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 522 | $44.2K | $84.59 | 2.99x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 271 | $43.8K | $161.65 | 3.57x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 222 | $41.7K | $187.82 | 2.65x |
This provider submits charges 4.45 times higher than what Medicare actually pays.
A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. 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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