This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 116% 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 | $583.68 | $140.98 | 4.14x | $442.70 | $519.3K | 6.1K | 2.6K |
| 2015 | $438.40 | $128.56 | 3.41x | $309.84 | $756.8K | 10.1K | 3.9K |
| 2016 | $441.89 | $122.19 | 3.62x | $319.70 | $856.0K | 12.3K | 4.1K |
| 2017 | $416.98 | $133.94 | 3.11x | $283.04 | $642.4K | 9.3K | 4.1K |
| 2018 | $398.57 | $133.30 | 2.99x | $265.27 | $789.8K | 11.6K | 4.8K |
| 2019 | $387.54 | $134.47 | 2.88x | $253.07 | $907.3K | 12.9K | 4.9K |
| 2020 | $335.68 | $101.65 | 3.30x | $234.03 | $570.5K | 8.4K | 3.8K |
| 2021 | $373.52 | $124.01 | 3.01x | $249.51 | $747.5K | 9.9K | 3.6K |
| 2022 | $383.23 | $138.00 | 2.78x | $245.23 | $966.8K | 12.4K | 4.4K |
| 2023 | $393.28 | $137.74 | 2.86x | $255.54 | $1.1M | 15.0K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 26.3K | $2.4M | $91.99 | 2.72x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.5K | $1.1M | $301.65 | 2.85x |
| 20553 | Injections of trigger points in 3 or more muscles | 19.7K | $814.5K | $41.42 | 12.07x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 6.2K | $666.1K | $108.06 | 3.42x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.6K | $591.0K | $223.09 | 2.24x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.5K | $395.2K | $112.81 | 4.08x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $365.5K | $227.01 | 3.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $199.6K | $123.69 | 3.64x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $183.4K | $114.87 | 3.75x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 483 | $181.7K | $376.26 | 1.82x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 3.4K | $168.0K | $49.24 | 3.54x |
| 99354 | Prolonged office or other outpatient service first hour | 1.3K | $110.7K | $83.89 | 3.28x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 853 | $95.2K | $111.60 | 3.85x |
| 62311 | Injections of substances into lower or sacral spine | 497 | $93.3K | $187.79 | 4.13x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 370 | $91.4K | $247.08 | 2.67x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 481 | $87.3K | $181.53 | 2.85x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 918 | $54.6K | $59.49 | 2.86x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 369 | $45.8K | $124.20 | 3.62x |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 936 | $36.7K | $39.21 | 5.10x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 107 | $29.3K | $273.76 | 3.56x |
This provider submits charges 3.96 times higher than what Medicare actually pays.
A markup ratio of 3.96x means for every $100 Medicare pays, this provider initially charges $396. 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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