This provider averages 65 services per working day
Based on 161.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Their average markup ratio of 8.35x is significantly above the specialty median of 5.1x.
Averaging 65 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 78% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2016
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 | $600.96 | $56.86 | 10.57x | $544.10 | $457.3K | 8.8K | 4.0K |
| 2015 | $609.50 | $57.47 | 10.61x | $552.03 | $545.1K | 10.7K | 4.9K |
| 2016 | $550.97 | $53.40 | 10.32x | $497.57 | $881.3K | 17.9K | 6.4K |
| 2017 | $542.47 | $55.73 | 9.73x | $486.74 | $940.2K | 18.6K | 6.8K |
| 2018 | $544.17 | $54.96 | 9.90x | $489.21 | $1.0M | 21.5K | 7.5K |
| 2019 | $558.27 | $59.16 | 9.44x | $499.11 | $908.6K | 18.8K | 7.2K |
| 2020 | $570.93 | $64.25 | 8.89x | $506.68 | $804.0K | 15.8K | 5.8K |
| 2021 | $570.68 | $64.37 | 8.87x | $506.31 | $860.3K | 17.5K | 5.7K |
| 2022 | $571.31 | $62.62 | 9.12x | $508.69 | $860.5K | 17.2K | 5.6K |
| 2023 | $562.98 | $59.61 | 9.44x | $503.37 | $814.5K | 15.0K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.0K | $1.5M | $56.59 | 7.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.4K | $1.5M | $83.91 | 7.68x |
| G0483 | Drug test def 22+ classes | 3.7K | $813.4K | $222.37 | 5.60x |
| G0482 | Drug test(s), definitive, utilizing (1) 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 | 2.7K | $518.1K | $195.21 | 6.38x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.6K | $475.3K | $184.02 | 13.96x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.5K | $309.4K | $122.04 | 8.17x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 6.4K | $301.6K | $46.80 | 9.41x |
| 96130 | Psychological testing evaluation by qualified health care professional, first 60 minutes | 3.0K | $277.5K | $92.95 | 2.69x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 6.7K | $272.5K | $40.87 | 8.66x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.3K | $230.0K | $53.24 | 4.00x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $146.5K | $103.89 | 10.09x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 4.0K | $136.3K | $33.92 | 9.86x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 762 | $134.1K | $176.01 | 14.79x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.4K | $123.7K | $52.18 | 20.32x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.6K | $123.4K | $48.11 | 7.66x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $79.9K | $60.80 | 8.66x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 370 | $79.5K | $214.95 | 5.66x |
| 64640 | Destruction of peripheral nerve or branch | 1.9K | $74.0K | $39.68 | 20.19x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 4.3K | $68.8K | $15.99 | 3.94x |
| 80305 | Testing for presence of drug | 5.1K | $65.1K | $12.80 | 6.95x |
This provider submits charges 8.35 times higher than what Medicare actually pays.
A markup ratio of 8.35x means for every $100 Medicare pays, this provider initially charges $835. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data