This provider's $5.7M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 8.75x is significantly above the specialty median of 5.0x.
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 | $264.57 | $76.10 | 3.48x | $188.47 | $623.1K | 7.3K | 4.3K |
| 2015 | $461.86 | $85.28 | 5.42x | $376.58 | $557.4K | 6.4K | 3.8K |
| 2016 | $926.05 | $94.58 | 9.79x | $831.47 | $510.6K | 5.9K | 3.5K |
| 2017 | $917.45 | $103.53 | 8.86x | $813.92 | $491.2K | 5.6K | 3.2K |
| 2018 | $790.71 | $109.48 | 7.22x | $681.23 | $596.4K | 6.2K | 3.4K |
| 2019 | $642.39 | $88.12 | 7.29x | $554.27 | $577.3K | 6.2K | 3.2K |
| 2020 | $952.58 | $112.66 | 8.46x | $839.92 | $578.9K | 6.1K | 2.8K |
| 2021 | $2.0K | $157.72 | 12.61x | $1.8K | $599.1K | 5.7K | 2.5K |
| 2022 | $2.2K | $191.41 | 11.61x | $2.0K | $629.3K | 5.4K | 2.3K |
| 2023 | $2.4K | $139.91 | 17.40x | $2.3K | $540.7K | 4.7K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.2K | $1.0M | $84.36 | 9.11x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.7K | $996.7K | $370.24 | 8.21x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 1.2K | $432.3K | $350.88 | 9.22x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.5K | $412.7K | $162.61 | 8.33x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.9K | $407.2K | $51.60 | 6.93x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $384.3K | $210.69 | 7.22x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 1.2K | $200.3K | $169.42 | 9.28x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 507 | $194.8K | $384.16 | 12.63x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 919 | $157.8K | $171.74 | 8.24x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 1.8K | $156.1K | $87.09 | 7.01x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $154.6K | $87.63 | 7.58x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 794 | $144.7K | $182.26 | 9.01x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 757 | $103.6K | $136.84 | 9.16x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 492 | $101.7K | $206.75 | 8.06x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 840 | $99.9K | $118.89 | 8.13x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 852 | $74.7K | $87.68 | 8.37x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 733 | $65.5K | $89.42 | 9.34x |
| 64451 | Injection of anesthetic agent and/or steroid into nerves supplying joint between spine and pelvis using imaging guidance | 236 | $60.3K | $255.47 | 12.89x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 595 | $47.8K | $80.39 | 5.48x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 465 | $45.8K | $98.53 | 8.60x |
This provider submits charges 8.75 times higher than what Medicare actually pays.
A markup ratio of 8.75x means for every $100 Medicare pays, this provider initially charges $875. 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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