This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Their average markup ratio of 9.17x is significantly above the specialty median of 5.1x.
Medicare payments to this provider grew 2188% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 607% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $582.30 | $75.85 | 7.68x | $506.45 | $42.3K | 515 | 426 |
| 2016 | $741.46 | $79.44 | 9.33x | $662.02 | $299.1K | 4.3K | 2.6K |
| 2017 | $740.85 | $74.66 | 9.92x | $666.19 | $247.4K | 3.5K | 2.1K |
| 2018 | $647.66 | $64.60 | 10.03x | $583.06 | $242.9K | 3.7K | 2.2K |
| 2019 | $1.8K | $104.01 | 17.33x | $1.7K | $390.0K | 5.6K | 2.4K |
| 2020 | $2.1K | $135.36 | 15.23x | $1.9K | $1.0M | 8.8K | 2.9K |
| 2021 | $2.0K | $211.21 | 9.55x | $1.8K | $3.3M | 12.3K | 3.6K |
| 2022 | $1.8K | $92.37 | 19.78x | $1.7K | $831.6K | 15.6K | 4.1K |
| 2023 | $1.8K | $93.95 | 19.45x | $1.7K | $968.5K | 16.7K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4215 | Axolotl ambient or axolotl cryo, 0.1 mg | 350 | $1.7M | $4.9K | 1.61x |
| Q4206 | Fluid flow or fluid gf, 1 cc | 842 | $1.4M | $1.7K | 1.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.2K | $935.6K | $83.68 | 5.07x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.4K | $415.5K | $65.41 | 6.35x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $343.1K | $181.16 | 16.40x |
| 77002 | Fluoroscopic guidance for insertion of needle | 2.5K | $223.7K | $88.02 | 39.11x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 533 | $202.1K | $379.22 | 17.31x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 938 | $151.6K | $161.59 | 21.53x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.5K | $126.4K | $82.19 | 30.13x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 585 | $110.3K | $188.47 | 2.83x |
| 27369 | Injection of contrast for imaging of knee joint | 796 | $110.2K | $138.49 | 3.25x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 847 | $107.6K | $127.06 | 5.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 921 | $106.1K | $115.19 | 3.91x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 533 | $85.3K | $159.96 | 34.18x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.5K | $82.3K | $33.37 | 19.04x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.4K | $81.7K | $34.19 | 67.94x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 779 | $80.8K | $103.75 | 14.08x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 922 | $80.2K | $86.99 | 32.88x |
| 73580 | Radiological supervision and interpretation x-ray of knee joint | 711 | $72.7K | $102.24 | 3.36x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 212 | $66.1K | $311.80 | 20.49x |
This provider submits charges 9.17 times higher than what Medicare actually pays.
A markup ratio of 9.17x means for every $100 Medicare pays, this provider initially charges $917. 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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