This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 10.09x 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 | $1.4K | $91.21 | 14.91x | $1.3K | $457.9K | 6.2K | 3.1K |
| 2015 | $1.4K | $87.53 | 15.99x | $1.3K | $452.2K | 6.2K | 3.1K |
| 2016 | $1.3K | $86.13 | 15.67x | $1.3K | $449.7K | 6.1K | 3.1K |
| 2017 | $1.4K | $93.21 | 15.35x | $1.3K | $502.2K | 6.5K | 3.4K |
| 2018 | $1.5K | $96.01 | 15.43x | $1.4K | $521.7K | 7.0K | 3.8K |
| 2019 | $1.5K | $91.51 | 16.06x | $1.4K | $518.3K | 6.9K | 3.8K |
| 2020 | $1.5K | $88.51 | 16.72x | $1.4K | $449.4K | 6.0K | 3.2K |
| 2021 | $1.7K | $99.21 | 16.77x | $1.6K | $588.8K | 6.6K | 3.9K |
| 2022 | $1.7K | $93.42 | 17.70x | $1.6K | $624.4K | 7.3K | 4.3K |
| 2023 | $1.7K | $91.04 | 18.32x | $1.6K | $549.4K | 6.7K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 31.9K | $1.9M | $58.43 | 2.89x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 7.5K | $700.0K | $93.63 | 32.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.8K | $442.4K | $91.23 | 2.74x |
| 72148 | MRI scan of lower spinal canal | 2.6K | $437.4K | $166.62 | 6.81x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.5K | $418.4K | $167.11 | 2.92x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.2K | $264.4K | $118.79 | 2.84x |
| 72141 | MRI scan of upper spinal canal | 1.3K | $219.7K | $166.93 | 6.79x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.0K | $89.8K | $88.80 | 9.72x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 378 | $68.7K | $181.69 | 28.88x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 863 | $65.2K | $75.55 | 30.98x |
| 72146 | MRI scan of middle spinal canal | 370 | $63.9K | $172.80 | 6.66x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 668 | $58.9K | $88.25 | 29.46x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 323 | $58.3K | $180.49 | 29.35x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 646 | $43.6K | $67.43 | 20.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 293 | $37.4K | $127.70 | 3.44x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 804 | $35.3K | $43.90 | 26.03x |
| 62310 | Injections of substances into upper or middle spine | 449 | $34.4K | $76.58 | 7.34x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 607 | $31.0K | $51.05 | 24.60x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 2.1K | $27.6K | $13.07 | 3.59x |
| 70551 | MRI scan brain | 143 | $25.5K | $178.06 | 7.05x |
This provider submits charges 10.09 times higher than what Medicare actually pays.
A markup ratio of 10.09x means for every $100 Medicare pays, this provider initially charges $1009. 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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