This provider averages 70 services per working day
Based on 173.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
Averaging 70 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 | $316.65 | $86.02 | 3.68x | $230.63 | $2.1M | 57.3K | 17.6K |
| 2015 | $333.26 | $83.21 | 4.01x | $250.05 | $1.4M | 36.1K | 15.1K |
| 2016 | $440.10 | $103.38 | 4.26x | $336.72 | $941.8K | 11.4K | 6.7K |
| 2017 | $426.13 | $98.96 | 4.31x | $327.17 | $1.1M | 11.9K | 6.4K |
| 2018 | $469.90 | $108.78 | 4.32x | $361.12 | $928.4K | 10.5K | 6.2K |
| 2019 | $451.25 | $104.67 | 4.31x | $346.58 | $905.9K | 10.4K | 6.5K |
| 2020 | $427.31 | $105.01 | 4.07x | $322.30 | $744.2K | 8.4K | 5.2K |
| 2021 | $567.54 | $135.85 | 4.18x | $431.69 | $870.5K | 9.1K | 5.5K |
| 2022 | $673.61 | $147.81 | 4.56x | $525.80 | $822.7K | 8.5K | 5.4K |
| 2023 | $533.57 | $118.41 | 4.51x | $415.16 | $929.1K | 10.1K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 22.4K | $1.8M | $81.71 | 4.00x |
| G0482 | Drug test def 15-21 classes | 4.6K | $853.4K | $184.99 | 2.19x |
| G0481 | Drug test def 8-14 classes | 5.0K | $750.8K | $150.13 | 1.97x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 6.5K | $630.8K | $96.44 | 2.30x |
| 80307 | Testing for presence of drug | 8.5K | $563.6K | $66.11 | 2.09x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.7K | $561.6K | $205.11 | 4.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.9K | $558.6K | $56.44 | 4.10x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $306.5K | $188.16 | 5.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $225.4K | $119.53 | 4.18x |
| 95912 | Nerve transmission studies, 11-12 studies | 1.1K | $211.2K | $196.42 | 3.61x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 430 | $195.8K | $455.35 | 4.55x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $158.5K | $84.59 | 4.22x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $153.7K | $99.16 | 5.03x |
| 82649 | Dihydromorphinone (drug) level | 4.1K | $141.4K | $34.21 | 1.17x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 1.5K | $131.4K | $88.16 | 2.27x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 130 | $123.2K | $947.91 | 4.85x |
| 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 | 1.6K | $121.1K | $76.77 | 2.08x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 576 | $115.7K | $200.95 | 4.95x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $111.6K | $99.55 | 4.99x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 566 | $110.5K | $195.19 | 3.89x |
This provider submits charges 3.28 times higher than what Medicare actually pays.
A markup ratio of 3.28x means for every $100 Medicare pays, this provider initially charges $328. 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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