This provider's $3.3M in total Medicare payments ranks in the 97th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 12.74x is significantly above the specialty median of 5.0x.
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 | $1.4K | $109.12 | 13.21x | $1.3K | $305.0K | 4.3K | 2.5K |
| 2015 | $1.5K | $117.41 | 12.73x | $1.4K | $354.7K | 4.4K | 2.4K |
| 2016 | $1.8K | $122.21 | 15.09x | $1.7K | $329.8K | 4.2K | 2.1K |
| 2017 | $2.0K | $122.08 | 16.18x | $1.9K | $344.7K | 4.2K | 2.0K |
| 2018 | $2.1K | $120.69 | 17.01x | $1.9K | $383.0K | 4.9K | 2.3K |
| 2019 | $2.2K | $140.22 | 15.35x | $2.0K | $334.8K | 3.9K | 1.9K |
| 2020 | $2.1K | $147.22 | 14.21x | $1.9K | $267.0K | 3.0K | 1.4K |
| 2021 | $2.3K | $164.66 | 14.12x | $2.2K | $356.7K | 3.4K | 1.6K |
| 2022 | $2.2K | $167.32 | 13.22x | $2.0K | $326.7K | 2.9K | 1.4K |
| 2023 | $2.7K | $160.13 | 16.71x | $2.5K | $299.0K | 2.9K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $520.3K | $378.92 | 11.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.0K | $483.0K | $60.23 | 4.16x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $321.5K | $211.95 | 16.04x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.4K | $233.9K | $170.34 | 11.30x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.0K | $222.9K | $218.09 | 20.23x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 2.6K | $187.1K | $72.71 | 7.22x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $164.6K | $109.51 | 21.68x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 650 | $104.2K | $160.30 | 14.32x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 966 | $102.7K | $106.31 | 19.93x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 421 | $97.0K | $230.51 | 14.03x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 219 | $92.2K | $421.02 | 10.11x |
| 62311 | Injections of substances into lower or sacral spine | 541 | $80.0K | $147.84 | 18.83x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 845 | $75.1K | $88.93 | 2.86x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 305 | $69.2K | $226.95 | 14.26x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 1.6K | $65.5K | $41.66 | 24.44x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 240 | $55.2K | $230.10 | 23.62x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 963 | $50.8K | $52.79 | 21.29x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 452 | $47.9K | $106.03 | 8.16x |
| J0702 | Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg | 8.0K | $41.6K | $5.21 | 9.61x |
| 77003 | Fluoroscopic guidance for spine or spinal canal injection | 638 | $40.3K | $63.20 | 12.35x |
This provider submits charges 12.74 times higher than what Medicare actually pays.
A markup ratio of 12.74x means for every $100 Medicare pays, this provider initially charges $1274. 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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