This provider's $8.6M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 8.43x 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 | $531.49 | $126.62 | 4.20x | $404.87 | $664.6K | 6.8K | 3.7K |
| 2015 | $692.24 | $183.81 | 3.77x | $508.43 | $682.5K | 6.6K | 3.6K |
| 2016 | $965.34 | $268.38 | 3.60x | $696.96 | $724.4K | 5.7K | 3.6K |
| 2017 | $1.2K | $329.97 | 3.61x | $860.73 | $772.6K | 5.9K | 3.5K |
| 2018 | $2.0K | $260.74 | 7.77x | $1.8K | $860.3K | 7.0K | 4.3K |
| 2019 | $2.0K | $255.16 | 7.96x | $1.8K | $955.2K | 8.2K | 4.9K |
| 2020 | $1.8K | $183.48 | 9.72x | $1.6K | $798.2K | 8.3K | 4.6K |
| 2021 | $1.4K | $120.73 | 11.99x | $1.3K | $1.0M | 14.4K | 5.5K |
| 2022 | $1.6K | $184.39 | 8.73x | $1.4K | $1.1M | 16.2K | 5.7K |
| 2023 | $1.3K | $111.18 | 11.88x | $1.2K | $959.5K | 16.4K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 15.1K | $623.4K | $41.26 | 3.25x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 99 | $525.1K | $5.3K | 3.89x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.3K | $451.0K | $347.49 | 8.09x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.0K | $447.7K | $224.05 | 11.30x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 11.1K | $415.1K | $37.52 | 3.45x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 58 | $316.8K | $5.5K | 3.65x |
| 72148 | MRI scan of lower spinal canal | 1.9K | $298.2K | $158.04 | 10.77x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $271.7K | $85.46 | 4.46x |
| 73721 | MRI scan of leg joint | 1.7K | $267.5K | $161.04 | 10.64x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $257.4K | $198.13 | 27.64x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.4K | $214.5K | $152.67 | 6.22x |
| 72131 | CT scan of lower spine | 1.9K | $213.8K | $111.79 | 9.98x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.3K | $199.9K | $154.21 | 10.52x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.7K | $188.4K | $108.56 | 25.14x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 599 | $160.8K | $268.38 | 4.61x |
| 72192 | CT scan pelvis | 1.8K | $149.5K | $84.42 | 12.89x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 2.6K | $145.9K | $56.38 | 4.34x |
| 72195 | MRI scan of pelvis | 627 | $135.9K | $216.82 | 7.95x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $134.5K | $103.73 | 23.15x |
| 73221 | MRI scan of arm joint | 771 | $132.2K | $171.50 | 9.98x |
This provider submits charges 8.43 times higher than what Medicare actually pays.
A markup ratio of 8.43x means for every $100 Medicare pays, this provider initially charges $843. 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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