This provider's $4.6M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 125% from 2014 to 2023.
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 | $553.36 | $76.47 | 7.24x | $476.89 | $278.1K | 5.2K | 2.1K |
| 2015 | $587.83 | $97.83 | 6.01x | $490.00 | $311.8K | 4.7K | 2.1K |
| 2016 | $644.57 | $108.49 | 5.94x | $536.08 | $348.3K | 5.3K | 2.0K |
| 2017 | $694.76 | $108.46 | 6.41x | $586.30 | $368.7K | 5.6K | 2.1K |
| 2018 | $606.81 | $88.15 | 6.88x | $518.66 | $397.6K | 6.4K | 2.5K |
| 2019 | $712.86 | $117.12 | 6.09x | $595.74 | $546.7K | 7.4K | 3.1K |
| 2020 | $400.40 | $107.63 | 3.72x | $292.77 | $543.6K | 6.8K | 2.9K |
| 2021 | $403.54 | $117.67 | 3.43x | $285.87 | $563.3K | 6.4K | 3.0K |
| 2022 | $428.80 | $133.08 | 3.22x | $295.72 | $606.8K | 6.7K | 3.0K |
| 2023 | $393.49 | $126.01 | 3.12x | $267.48 | $624.7K | 6.9K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.3K | $768.6K | $177.72 | 5.02x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.8K | $695.0K | $181.70 | 4.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.8K | $569.6K | $48.13 | 2.79x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.2K | $317.2K | $99.48 | 4.13x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.7K | $298.1K | $179.68 | 5.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $282.1K | $87.03 | 3.33x |
| 62311 | Injections of substances into lower or sacral spine | 2.1K | $266.0K | $128.64 | 8.97x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $218.9K | $190.16 | 5.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $212.8K | $117.18 | 2.57x |
| 80307 | Testing for presence of drug | 2.4K | $144.2K | $61.01 | 2.57x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $105.8K | $99.01 | 4.49x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.4K | $97.3K | $67.81 | 4.64x |
| 62310 | Injections of substances into upper or middle spine | 596 | $82.7K | $138.80 | 8.42x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.7K | $81.4K | $48.18 | 4.42x |
| J0702 | Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg | 14.5K | $75.3K | $5.18 | 2.45x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance, single level | 298 | $60.7K | $203.57 | 2.64x |
| 77003 | Fluoroscopic guidance for spine or spinal canal injection | 862 | $55.3K | $64.16 | 6.23x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 144 | $52.6K | $365.53 | 3.73x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 649 | $47.9K | $73.75 | 7.26x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 299 | $43.2K | $144.47 | 8.51x |
This provider submits charges 4.53 times higher than what Medicare actually pays.
A markup ratio of 4.53x means for every $100 Medicare pays, this provider initially charges $453. 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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