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Methodology•Download Data
  1. Home
  2. Providers
  3. Edgar Ramirez
⚕️
MDIndividual

Edgar Ramirez, M.D.

NPI: 1548242399
Wesley Chapel, FL
10 years of data
Interventional Pain Management
$5.7M
Total Payments
31.4K
Beneficiaries
59.6K
Services
8.75x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$5.7M
Specialty median$206.2K

📋 Key Findings

1Billed $5.7M over 10 years
28.75x markup ratio (above median)
398th percentile in Interventional Pain Management by payments
420 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$264.57$76.103.48x$188.47$623.1K7.3K4.3K
2015$461.86$85.285.42x$376.58$557.4K6.4K3.8K
2016$926.05$94.589.79x$831.47$510.6K5.9K3.5K
2017$917.45$103.538.86x$813.92$491.2K5.6K3.2K
2018$790.71$109.487.22x$681.23$596.4K6.2K3.4K
2019$642.39$88.127.29x$554.27$577.3K6.2K3.2K
2020$952.58$112.668.46x$839.92$578.9K6.1K2.8K
2021$2.0K$157.7212.61x$1.8K$599.1K5.7K2.5K
2022$2.2K$191.4111.61x$2.0K$629.3K5.4K2.3K
2023$2.4K$139.9117.40x$2.3K$540.7K4.7K2.4K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes⚠ 9.1x markup
$1.0M
12.2K services$84.36/svc9.11x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 8.2x markup
$996.7K
2.7K services$370.24/svc8.21x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance⚠ 9.2x markup
$432.3K
1.2K services$350.88/svc9.22x markup
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance⚠ 8.3x markup
$412.7K
2.5K services$162.61/svc8.33x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 6.9x markup
$407.2K
7.9K services$51.60/svc6.93x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 7.2x markup
$384.3K
1.8K services$210.69/svc7.22x markup
64634Destruction of upper or middle spinal facet joint nerves with imaging guidance⚠ 9.3x markup
$200.3K
1.2K services$169.42/svc9.28x markup
64625Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance⚠ 12.6x markup
$194.8K
507 services$384.16/svc12.63x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 8.2x markup
$157.8K
919 services$171.74/svc8.24x markup
72275Radiological supervision and interpretation X-ray of covering of spinal cord⚠ 7.0x markup
$156.1K
1.8K services$87.09/svc7.01x markup
64484Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 7.6x markup
$154.6K
1.8K services$87.63/svc7.58x markup
64490Injections of upper or middle spine facet joint using imaging guidance⚠ 9.0x markup
$144.7K
794 services$182.26/svc9.01x markup
27096Injection procedure into sacroiliac joint for anesthetic or steroid⚠ 9.2x markup
$103.6K
757 services$136.84/svc9.16x markup
64479Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance⚠ 8.1x markup
$101.7K
492 services$206.75/svc8.06x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 8.1x markup
$99.9K
840 services$118.89/svc8.13x markup
64494Injections of lower or sacral spine facet joint using imaging guidance⚠ 8.4x markup
$74.7K
852 services$87.68/svc8.37x markup
64491Injections of upper or middle spine facet joint using imaging guidance⚠ 9.3x markup
$65.5K
733 services$89.42/svc9.34x markup
64451Injection of anesthetic agent and/or steroid into nerves supplying joint between spine and pelvis using imaging guidance⚠ 12.9x markup
$60.3K
236 services$255.47/svc12.89x markup
64495Injections of lower or sacral spine facet joint using imaging guidance⚠ 5.5x markup
$47.8K
595 services$80.39/svc5.48x markup
64480Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance⚠ 8.6x markup
$45.8K
465 services$98.53/svc8.60x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes12.2K$1.0M$84.369.11x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance2.7K$996.7K$370.248.21x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance1.2K$432.3K$350.889.22x
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance2.5K$412.7K$162.618.33x
99213Established patient office or other outpatient visit, typically 15 minutes7.9K$407.2K$51.606.93x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1.8K$384.3K$210.697.22x
64634Destruction of upper or middle spinal facet joint nerves with imaging guidance1.2K$200.3K$169.429.28x
64625Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance507$194.8K$384.1612.63x
64493Injections of lower or sacral spine facet joint using imaging guidance919$157.8K$171.748.24x
72275Radiological supervision and interpretation X-ray of covering of spinal cord1.8K$156.1K$87.097.01x
64484Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1.8K$154.6K$87.637.58x
64490Injections of upper or middle spine facet joint using imaging guidance794$144.7K$182.269.01x
27096Injection procedure into sacroiliac joint for anesthetic or steroid757$103.6K$136.849.16x
64479Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance492$101.7K$206.758.06x
99204New patient office or other outpatient visit, typically 45 minutes840$99.9K$118.898.13x
64494Injections of lower or sacral spine facet joint using imaging guidance852$74.7K$87.688.37x
64491Injections of upper or middle spine facet joint using imaging guidance733$65.5K$89.429.34x
64451Injection of anesthetic agent and/or steroid into nerves supplying joint between spine and pelvis using imaging guidance236$60.3K$255.4712.89x
64495Injections of lower or sacral spine facet joint using imaging guidance595$47.8K$80.395.48x
64480Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance465$45.8K$98.538.60x

Markup Analysis

Charge-to-Payment Ratio

8.75x

This provider submits charges 8.75 times higher than what Medicare actually pays.

What This Means

A markup ratio of 8.75x means for every $100 Medicare pays, this provider initially charges $875. This is higher than the national average.

Location

Wesley Chapel, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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