This provider averages 61 services per working day
Based on 151.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 13.75x is significantly above the specialty median of 5.0x.
Averaging 61 services per working day raises questions about billing patterns.
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 | $487.46 | $73.56 | 6.63x | $413.90 | $1.0M | 28.7K | 12.8K |
| 2015 | $614.82 | $65.18 | 9.43x | $549.64 | $1.1M | 24.3K | 9.6K |
| 2016 | $834.14 | $88.63 | 9.41x | $745.51 | $842.6K | 8.4K | 3.4K |
| 2017 | $865.89 | $84.65 | 10.23x | $781.24 | $909.2K | 9.4K | 4.0K |
| 2018 | $919.13 | $93.72 | 9.81x | $825.41 | $1.3M | 15.4K | 2.9K |
| 2019 | $769.10 | $78.73 | 9.77x | $690.37 | $1.2M | 13.7K | 1.9K |
| 2020 | $843.51 | $66.29 | 12.72x | $777.22 | $968.1K | 11.3K | 1.3K |
| 2021 | $974.82 | $86.57 | 11.26x | $888.25 | $920.1K | 10.6K | 1.4K |
| 2022 | $723.45 | $82.30 | 8.79x | $641.15 | $1.3M | 14.2K | 2.4K |
| 2023 | $843.59 | $104.45 | 8.08x | $739.14 | $1.3M | 15.5K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0480 | Drug 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 | 39.6K | $4.5M | $112.97 | 22.18x |
| 80307 | Testing for presence of drug | 40.9K | $2.6M | $64.04 | 8.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.2K | $708.7K | $77.30 | 4.93x |
| G0483 | Drug test def 22+ classes | 2.9K | $572.1K | $197.06 | 12.71x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 3.2K | $303.0K | $95.72 | 6.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $216.6K | $51.32 | 3.96x |
| 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 | 1.7K | $131.6K | $76.43 | 6.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 796 | $129.8K | $163.11 | 8.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 914 | $110.8K | $121.17 | 6.26x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 1.1K | $102.5K | $97.39 | 10.16x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 590 | $74.9K | $126.95 | 9.12x |
| J3490 | Unclassified drugs | 575 | $69.8K | $121.45 | 6.18x |
| G6041 | Alkaloids, urine, quantitative | 1.6K | $63.3K | $40.03 | 5.00x |
| 82101 | Urine alkaloids level | 1.6K | $62.0K | $39.25 | 5.48x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.3K | $60.1K | $48.00 | 20.83x |
| G6046 | Dihydromorphinone | 1.6K | $54.1K | $34.28 | 5.83x |
| 82649 | Dihydromorphinone (drug) level | 1.6K | $52.9K | $33.47 | 3.17x |
| G6045 | Dihydrocodeinone | 1.6K | $43.5K | $27.54 | 7.26x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 318 | $41.9K | $131.61 | 10.35x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 1.6K | $41.0K | $25.95 | 7.71x |
This provider submits charges 13.75 times higher than what Medicare actually pays.
A markup ratio of 13.75x means for every $100 Medicare pays, this provider initially charges $1375. 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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