This provider's $5.8M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 11.79x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 138% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 84% in 2015
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 | $1.1K | $137.49 | 7.65x | $914.90 | $264.7K | 2.6K | 1.2K |
| 2015 | $2.1K | $81.13 | 26.45x | $2.1K | $487.9K | 6.4K | 3.1K |
| 2016 | $2.5K | $95.09 | 25.88x | $2.4K | $894.0K | 12.8K | 4.8K |
| 2017 | $2.5K | $87.97 | 28.61x | $2.4K | $562.8K | 8.2K | 3.4K |
| 2018 | $2.0K | $80.92 | 24.64x | $1.9K | $708.2K | 10.6K | 3.8K |
| 2019 | $1.9K | $74.95 | 24.76x | $1.8K | $448.0K | 7.1K | 2.4K |
| 2020 | $1.4K | $70.77 | 20.39x | $1.4K | $432.7K | 8.0K | 3.1K |
| 2021 | $1.5K | $77.61 | 19.26x | $1.4K | $747.4K | 13.8K | 4.2K |
| 2022 | $2.1K | $83.27 | 25.76x | $2.1K | $632.3K | 10.5K | 4.0K |
| 2023 | $1.5K | $88.00 | 16.93x | $1.4K | $629.3K | 10.9K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80307 | Testing for presence of drug | 28.3K | $1.8M | $63.14 | 7.13x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.8K | $903.4K | $83.65 | 9.40x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.2K | $810.0K | $53.16 | 14.11x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.0K | $321.5K | $159.06 | 18.19x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 6.7K | $273.5K | $40.94 | 8.49x |
| G0479 | Drug 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 | 2.8K | $216.2K | $76.38 | 6.54x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 5.8K | $199.4K | $34.58 | 13.01x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $175.2K | $124.73 | 8.26x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 774 | $119.3K | $154.10 | 6.89x |
| 99484 | Care management services for behavioral health conditions, at least 20 minutes clinical staff time | 3.1K | $106.6K | $34.51 | 13.04x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 457 | $106.1K | $232.25 | 12.43x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 639 | $70.8K | $110.76 | 25.80x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 613 | $59.3K | $96.80 | 5.06x |
| 99493 | Subsequent psychiatric collaborative care management, first 60 minutes in subsequent month of behavioral health care manager activities | 472 | $53.3K | $112.96 | 9.30x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 431 | $51.3K | $119.10 | 7.40x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 90 | $42.2K | $469.44 | 26.80x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 750 | $40.5K | $54.01 | 53.11x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 444 | $39.6K | $89.28 | 31.52x |
| 93922 | Ultrasound study of arteries of both arms and legs | 561 | $39.4K | $70.25 | 11.88x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 626 | $37.0K | $59.10 | 48.53x |
This provider submits charges 11.79 times higher than what Medicare actually pays.
A markup ratio of 11.79x means for every $100 Medicare pays, this provider initially charges $1179. 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