This provider's $6.3M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Medicare payments to this provider grew 173% from 2014 to 2023.
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 | $466.11 | $103.56 | 4.50x | $362.55 | $330.2K | 4.7K | 3.1K |
| 2015 | $450.83 | $106.08 | 4.25x | $344.75 | $361.0K | 4.6K | 3.3K |
| 2016 | $530.53 | $105.71 | 5.02x | $424.82 | $379.7K | 4.8K | 3.2K |
| 2017 | $512.22 | $103.53 | 4.95x | $408.69 | $515.3K | 6.7K | 4.1K |
| 2018 | $482.38 | $117.69 | 4.10x | $364.69 | $637.5K | 7.7K | 4.6K |
| 2019 | $501.52 | $120.16 | 4.17x | $381.36 | $731.1K | 8.3K | 4.8K |
| 2020 | $477.30 | $118.62 | 4.02x | $358.68 | $760.1K | 8.2K | 4.6K |
| 2021 | $550.56 | $146.59 | 3.76x | $403.97 | $844.1K | 8.1K | 4.5K |
| 2022 | $596.57 | $169.68 | 3.52x | $426.89 | $823.1K | 7.9K | 4.2K |
| 2023 | $569.53 | $157.67 | 3.61x | $411.86 | $902.7K | 8.9K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 5.3K | $1.1M | $200.62 | 3.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.8K | $1.0M | $62.31 | 2.09x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.8K | $845.1K | $224.63 | 4.85x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.7K | $507.2K | $189.34 | 6.00x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $278.9K | $94.23 | 1.86x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 674 | $277.9K | $412.26 | 2.60x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.7K | $264.2K | $99.60 | 4.99x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.8K | $241.2K | $85.24 | 2.23x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.1K | $222.2K | $201.08 | 5.22x |
| 62311 | Injections of substances into lower or sacral spine | 1.4K | $203.1K | $140.63 | 4.09x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.1K | $176.4K | $83.71 | 4.31x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 687 | $132.0K | $192.11 | 3.52x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 678 | $131.3K | $193.59 | 2.03x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $115.5K | $35.26 | 2.84x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.1K | $113.4K | $102.83 | 4.46x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 592 | $92.0K | $155.45 | 4.34x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 187 | $81.4K | $435.05 | 3.09x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 271 | $73.8K | $272.35 | 3.97x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.3K | $73.1K | $54.95 | 3.40x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.0K | $52.3K | $50.92 | 2.87x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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