This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 294% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 128% in 2018
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 | $289.73 | $80.47 | 3.60x | $209.26 | $222.3K | 2.9K | 1.6K |
| 2015 | $259.62 | $73.03 | 3.55x | $186.59 | $188.2K | 2.7K | 1.5K |
| 2016 | $286.65 | $76.78 | 3.73x | $209.87 | $181.5K | 2.8K | 1.4K |
| 2017 | $254.40 | $70.76 | 3.60x | $183.64 | $155.2K | 2.5K | 1.2K |
| 2018 | $371.32 | $80.38 | 4.62x | $290.94 | $354.2K | 4.6K | 3.4K |
| 2019 | $466.75 | $92.90 | 5.02x | $373.85 | $488.2K | 6.4K | 4.4K |
| 2020 | $441.56 | $93.00 | 4.75x | $348.56 | $478.5K | 5.8K | 3.9K |
| 2021 | $486.86 | $101.17 | 4.81x | $385.69 | $640.1K | 7.2K | 4.9K |
| 2022 | $553.46 | $110.96 | 4.99x | $442.50 | $688.7K | 8.0K | 5.6K |
| 2023 | $557.11 | $103.25 | 5.40x | $453.86 | $876.1K | 13.9K | 7.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.6K | $922.4K | $200.01 | 4.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.1K | $696.9K | $62.71 | 4.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $573.1K | $91.63 | 4.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $269.9K | $130.62 | 5.22x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $202.9K | $185.98 | 4.46x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.4K | $196.4K | $83.13 | 5.48x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $150.4K | $83.59 | 4.34x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $105.7K | $97.46 | 4.35x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 538 | $104.3K | $193.90 | 4.58x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.1K | $99.4K | $89.51 | 4.35x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.8K | $98.8K | $54.27 | 5.00x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 2.2K | $88.0K | $39.63 | 5.24x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 204 | $74.0K | $362.94 | 4.96x |
| 72148 | MRI scan of lower spinal canal | 493 | $56.2K | $113.95 | 8.18x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 325 | $53.3K | $164.13 | 4.04x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 538 | $53.0K | $98.50 | 4.51x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 297 | $47.1K | $158.48 | 4.80x |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2.1K | $39.9K | $19.07 | 7.11x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 836 | $37.1K | $44.39 | 5.14x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 203 | $36.5K | $180.04 | 4.09x |
This provider submits charges 4.66 times higher than what Medicare actually pays.
A markup ratio of 4.66x means for every $100 Medicare pays, this provider initially charges $466. 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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