This provider's $6.2M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 2419% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 743% in 2015
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 | $279.35 | $69.81 | 4.00x | $209.54 | $48.6K | 603 | 423 |
| 2015 | $344.43 | $76.11 | 4.53x | $268.32 | $409.2K | 5.7K | 1.9K |
| 2016 | $232.38 | $84.77 | 2.74x | $147.61 | $226.6K | 3.0K | 1.1K |
| 2017 | $283.33 | $74.57 | 3.80x | $208.76 | $153.0K | 2.1K | 1.2K |
| 2018 | $342.15 | $71.10 | 4.81x | $271.05 | $276.8K | 3.6K | 1.7K |
| 2019 | $356.96 | $71.41 | 5.00x | $285.55 | $474.0K | 6.6K | 2.4K |
| 2020 | $258.08 | $74.83 | 3.45x | $183.25 | $734.5K | 10.0K | 2.4K |
| 2021 | $246.33 | $72.68 | 3.39x | $173.65 | $1.2M | 17.0K | 3.4K |
| 2022 | $226.99 | $66.79 | 3.40x | $160.20 | $1.5M | 21.4K | 4.2K |
| 2023 | $235.79 | $66.29 | 3.56x | $169.50 | $1.2M | 18.3K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 41.0K | $3.5M | $85.17 | 2.35x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 7.0K | $347.8K | $49.92 | 4.02x |
| 76882 | Ultrasound of arm or leg | 7.1K | $326.8K | $46.20 | 2.16x |
| 20553 | Injections of trigger points in 3 or more muscles | 5.7K | $288.4K | $51.03 | 4.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $284.2K | $128.43 | 2.43x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.0K | $251.6K | $84.29 | 3.69x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 3.1K | $217.7K | $70.64 | 2.12x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.5K | $196.7K | $133.97 | 5.15x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.8K | $155.3K | $54.50 | 2.02x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.1K | $147.4K | $132.45 | 1.92x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 719 | $103.6K | $144.09 | 1.85x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.4K | $87.7K | $60.97 | 7.96x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.3K | $69.0K | $53.71 | 3.77x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 550 | $32.4K | $58.83 | 3.71x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 141 | $22.9K | $162.53 | 2.15x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 181 | $17.7K | $98.06 | 5.02x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 166 | $17.4K | $104.87 | 1.91x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 231 | $17.2K | $74.30 | 5.17x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 274 | $15.4K | $56.17 | 3.28x |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 2.4K | $12.7K | $5.35 | 1.87x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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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