This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 101% from 2014 to 2023.
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 | $472.03 | $112.85 | 4.18x | $359.18 | $392.0K | 6.4K | 4.3K |
| 2015 | $714.68 | $113.58 | 6.29x | $601.10 | $455.8K | 6.0K | 4.2K |
| 2016 | $650.45 | $104.36 | 6.23x | $546.09 | $492.8K | 7.3K | 4.3K |
| 2017 | $434.29 | $111.55 | 3.89x | $322.74 | $481.0K | 6.7K | 4.2K |
| 2018 | $410.14 | $101.12 | 4.06x | $309.02 | $533.4K | 7.3K | 4.9K |
| 2019 | $417.49 | $114.68 | 3.64x | $302.81 | $458.6K | 6.2K | 4.3K |
| 2020 | $484.25 | $127.09 | 3.81x | $357.16 | $506.1K | 6.5K | 4.2K |
| 2021 | $429.60 | $124.19 | 3.46x | $305.41 | $581.0K | 6.8K | 4.5K |
| 2022 | $581.78 | $154.06 | 3.78x | $427.72 | $715.3K | 7.4K | 5.2K |
| 2023 | $836.16 | $197.09 | 4.24x | $639.07 | $789.8K | 6.3K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.4K | $1.0M | $439.43 | 2.94x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.0K | $516.0K | $51.83 | 4.48x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.3K | $451.2K | $193.16 | 3.05x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.2K | $415.9K | $190.62 | 3.76x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $414.5K | $178.34 | 3.03x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 618 | $281.7K | $455.89 | 7.32x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 613 | $260.0K | $424.08 | 3.01x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $219.1K | $95.83 | 2.86x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 932 | $178.2K | $191.23 | 3.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $161.2K | $115.26 | 4.44x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $128.6K | $92.62 | 3.02x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 604 | $124.6K | $206.28 | 3.01x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $121.2K | $36.37 | 3.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $119.0K | $80.86 | 4.30x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.6K | $98.3K | $38.03 | 3.83x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 921 | $91.1K | $98.92 | 2.89x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $85.4K | $79.11 | 4.13x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 317 | $60.7K | $191.58 | 3.87x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 329 | $58.0K | $176.33 | 4.57x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 552 | $54.2K | $98.19 | 3.04x |
This provider submits charges 3.73 times higher than what Medicare actually pays.
A markup ratio of 3.73x means for every $100 Medicare pays, this provider initially charges $373. 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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