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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Mikhail Ivanovsky
⚕️
MDIndividual

Mikhail Ivanovsky, MD

NPI: 1598810244
Little Rock, AR
10 years of data
Pain Management
$3.8M
Total Payments
24.1K
Beneficiaries
42.3K
Services
5.32x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$3.8M
Specialty median$156.5K

📋 Key Findings

1Billed $3.8M over 10 years
25.32x markup ratio (above median)
398th percentile in Pain Management by payments
4Payments surged 235% in 2015
516 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Pain Management providers nationally.

Their average markup ratio of 5.32x is significantly above the specialty median of 5.1x.

Medicare payments to this provider grew 870% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 235% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$317.50$92.993.41x$224.51$52.2K650525
2015$430.09$86.504.97x$343.59$174.9K2.0K1.4K
2016$455.90$79.505.73x$376.40$486.0K4.7K3.2K
2017$439.24$74.415.90x$364.83$458.1K5.2K3.2K
2018$462.84$70.516.56x$392.33$451.7K5.8K3.3K
2019$517.38$69.197.48x$448.19$448.0K5.6K3.1K
2020$649.57$72.558.95x$577.02$382.1K5.1K2.8K
2021$664.44$82.128.09x$582.32$461.6K5.3K2.5K
2022$1.2K$92.5912.69x$1.1K$349.3K3.8K1.9K
2023$1.3K$119.5310.74x$1.2K$505.7K4.2K2.0K

Top Procedures (20)

G0482Drug test def 15-21 classes
$661.1K
3.4K services$192.47/svc2.54x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.5x markup
$599.0K
8.0K services$74.89/svc3.48x markup
80307Testing for presence of drug⚠ 4.3x markup
$472.7K
7.4K services$64.10/svc4.31x markup
G0483Drug test def 22+ classes
$234.2K
1.1K services$212.73/svc1.32x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 7.2x markup
$196.4K
1.1K services$174.38/svc7.19x markup
J7999Compounded drug, not otherwise classified⚠ 17.9x markup
$176.1K
199 services$884.78/svc17.95x markup
G0481Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (an⚠ 3.4x markup
$144.0K
941 services$153.08/svc3.41x markup
62369Electronic analysis reprogramming and refill of spinal canal drug infusion pump⚠ 3.5x markup
$142.8K
2.2K services$66.16/svc3.48x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.4x markup
$130.6K
2.6K services$49.65/svc3.42x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 6.3x markup
$98.2K
962 services$102.10/svc6.31x markup
G0479Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when
$78.0K
1.0K services$75.98/svc1.36x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 3.4x markup
$74.1K
2.0K services$37.15/svc3.37x markup
99204New patient office or other outpatient visit, typically 45 minutes
$70.7K
648 services$109.07/svc2.83x markup
27096Injection procedure into sacroiliac joint for anesthetic or steroid⚠ 9.4x markup
$62.0K
653 services$94.92/svc9.36x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance⚠ 11.2x markup
$61.3K
828 services$73.99/svc11.18x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance⚠ 8.3x markup
$60.6K
387 services$156.67/svc8.35x markup
64494Injections of lower or sacral spine facet joint using imaging guidance⚠ 8.6x markup
$56.3K
957 services$58.86/svc8.58x markup
64490Injections of upper or middle spine facet joint using imaging guidance⚠ 7.8x markup
$46.6K
419 services$111.21/svc7.81x markup
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance⚠ 23.3x markup
$45.3K
907 services$49.89/svc23.27x markup
64495Injections of lower or sacral spine facet joint using imaging guidance⚠ 8.4x markup
$45.0K
741 services$60.72/svc8.37x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0482Drug test def 15-21 classes3.4K$661.1K$192.472.54x
99214Established patient office or other outpatient, visit typically 25 minutes8.0K$599.0K$74.893.48x
80307Testing for presence of drug7.4K$472.7K$64.104.31x
G0483Drug test def 22+ classes1.1K$234.2K$212.731.32x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance1.1K$196.4K$174.387.19x
J7999Compounded drug, not otherwise classified199$176.1K$884.7817.95x
G0481Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (an941$144.0K$153.083.41x
62369Electronic analysis reprogramming and refill of spinal canal drug infusion pump2.2K$142.8K$66.163.48x
99213Established patient office or other outpatient visit, typically 15 minutes2.6K$130.6K$49.653.42x
64493Injections of lower or sacral spine facet joint using imaging guidance962$98.2K$102.106.31x
G0479Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when1.0K$78.0K$75.981.36x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2.0K$74.1K$37.153.37x
99204New patient office or other outpatient visit, typically 45 minutes648$70.7K$109.072.83x
27096Injection procedure into sacroiliac joint for anesthetic or steroid653$62.0K$94.929.36x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance828$61.3K$73.9911.18x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance387$60.6K$156.678.35x
64494Injections of lower or sacral spine facet joint using imaging guidance957$56.3K$58.868.58x
64490Injections of upper or middle spine facet joint using imaging guidance419$46.6K$111.217.81x
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance907$45.3K$49.8923.27x
64495Injections of lower or sacral spine facet joint using imaging guidance741$45.0K$60.728.37x

Markup Analysis

Charge-to-Payment Ratio

5.32x

This provider submits charges 5.32 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.32x means for every $100 Medicare pays, this provider initially charges $532. This is higher than the national average.

Location

Little Rock, AR

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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