This provider's $6.2M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 108% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 145% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $137.55 | $103.67 | 1.33x | $33.88 | $345.6K | 3.3K | 2.3K |
| 2017 | $169.63 | $102.26 | 1.66x | $67.37 | $847.0K | 8.7K | 6.0K |
| 2018 | $169.97 | $112.51 | 1.51x | $57.46 | $930.2K | 9.0K | 6.5K |
| 2019 | $194.83 | $117.09 | 1.66x | $77.74 | $921.4K | 9.6K | 6.9K |
| 2020 | $216.04 | $128.84 | 1.68x | $87.20 | $851.1K | 8.9K | 6.5K |
| 2021 | $226.30 | $132.31 | 1.71x | $93.99 | $752.5K | 7.2K | 5.5K |
| 2022 | $251.12 | $151.91 | 1.65x | $99.21 | $792.9K | 7.3K | 5.5K |
| 2023 | $440.81 | $144.52 | 3.05x | $296.29 | $719.3K | 7.2K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.7K | $986.4K | $369.72 | 1.46x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 3.2K | $468.4K | $147.29 | 1.62x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.3K | $443.2K | $196.27 | 1.46x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.2K | $427.3K | $192.67 | 1.43x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.6K | $425.7K | $164.28 | 1.48x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 790 | $289.6K | $366.61 | 1.56x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $261.6K | $59.61 | 1.64x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $215.0K | $101.60 | 1.40x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.5K | $206.8K | $81.18 | 1.42x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.0K | $205.2K | $201.73 | 1.56x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.3K | $182.7K | $34.52 | 1.40x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 1.9K | $176.8K | $93.37 | 1.24x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.3K | $148.1K | $45.41 | 1.84x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $144.4K | $101.82 | 1.25x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 910 | $143.3K | $157.49 | 1.32x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.6K | $135.5K | $85.25 | 1.70x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 770 | $127.3K | $165.28 | 1.60x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $107.5K | $93.79 | 1.88x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 994 | $103.5K | $104.08 | 1.51x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 466 | $91.4K | $196.19 | 1.53x |
This provider submits charges 1.56 times higher than what Medicare actually pays.
A markup ratio of 1.56x means for every $100 Medicare pays, this provider initially charges $156. This is lower 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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