This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $244.90 | $110.54 | 2.22x | $134.36 | $1.0M | 11.2K | 5.0K |
| 2015 | $257.32 | $117.44 | 2.19x | $139.88 | $948.7K | 10.0K | 4.2K |
| 2016 | $244.52 | $114.24 | 2.14x | $130.28 | $961.5K | 10.3K | 5.2K |
| 2017 | $242.88 | $136.54 | 1.78x | $106.34 | $1.0M | 8.5K | 4.7K |
| 2018 | $304.79 | $112.02 | 2.72x | $192.77 | $788.9K | 7.6K | 4.3K |
| 2019 | $370.50 | $117.10 | 3.16x | $253.40 | $676.6K | 6.4K | 4.0K |
| 2020 | $422.12 | $135.01 | 3.13x | $287.11 | $638.3K | 5.6K | 3.3K |
| 2021 | $426.80 | $162.88 | 2.62x | $263.92 | $722.4K | 5.0K | 3.2K |
| 2022 | $423.69 | $166.51 | 2.54x | $257.18 | $745.5K | 4.4K | 3.0K |
| 2023 | $467.45 | $157.50 | 2.97x | $309.95 | $675.6K | 4.1K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 5.5K | $2.1M | $385.57 | 1.72x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 5.5K | $830.9K | $150.72 | 2.58x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.7K | $672.5K | $69.10 | 1.75x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 1.3K | $548.1K | $406.32 | 1.75x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $456.4K | $217.45 | 2.45x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 2.3K | $342.3K | $148.07 | 2.18x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.2K | $281.3K | $229.82 | 2.25x |
| 73525 | Radiological supervision and interpretation X-ray of hip joint | 2.3K | $240.2K | $105.20 | 1.77x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 1.3K | $240.1K | $178.67 | 2.88x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $235.4K | $112.67 | 2.53x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 3.2K | $229.8K | $71.12 | 4.21x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.7K | $190.8K | $51.96 | 3.27x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 1.4K | $172.6K | $119.59 | 1.55x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.2K | $143.2K | $117.69 | 2.83x |
| 95912 | Nerve transmission studies, 11-12 studies | 529 | $128.9K | $243.63 | 1.57x |
| 27370 | Injection procedure for X-ray imaging of knee | 922 | $123.3K | $133.72 | 1.99x |
| 73040 | Radiological supervision and interpretation X-ray of shoulder joint | 1.1K | $116.9K | $106.66 | 1.72x |
| 23350 | Injection of dye for X-ray imaging of shoulder joint | 1.1K | $112.7K | $103.29 | 2.14x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 1.3K | $90.7K | $69.19 | 1.96x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.6K | $89.4K | $56.98 | 3.95x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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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