This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 59% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $557.96 | $129.39 | 4.31x | $428.57 | $336.4K | 3.7K | 1.8K |
| 2015 | $535.65 | $119.76 | 4.47x | $415.89 | $242.8K | 3.0K | 1.4K |
| 2016 | $512.12 | $114.62 | 4.47x | $397.50 | $247.9K | 3.0K | 1.4K |
| 2017 | $549.12 | $131.35 | 4.18x | $417.77 | $345.4K | 3.9K | 2.0K |
| 2018 | $473.72 | $140.30 | 3.38x | $333.42 | $650.5K | 6.7K | 3.0K |
| 2019 | $476.38 | $142.79 | 3.34x | $333.59 | $685.0K | 6.6K | 3.0K |
| 2020 | $474.50 | $143.30 | 3.31x | $331.20 | $514.3K | 5.5K | 2.4K |
| 2021 | $473.09 | $153.48 | 3.08x | $319.61 | $562.8K | 5.7K | 2.6K |
| 2022 | $476.96 | $188.33 | 2.53x | $288.63 | $563.9K | 4.5K | 2.4K |
| 2023 | $477.23 | $181.82 | 2.62x | $295.41 | $533.7K | 4.3K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $783.2K | $96.03 | 4.74x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.5K | $693.0K | $461.36 | 2.60x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $541.8K | $228.99 | 3.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $453.2K | $62.18 | 4.86x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.5K | $317.7K | $211.49 | 2.84x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.2K | $307.8K | $246.67 | 2.95x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.3K | $218.3K | $95.25 | 5.25x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 384 | $172.1K | $448.13 | 3.12x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.2K | $156.5K | $125.63 | 2.99x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 545 | $135.4K | $248.42 | 3.18x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 507 | $124.0K | $244.60 | 3.10x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $119.1K | $99.44 | 4.71x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 826 | $100.8K | $122.08 | 3.40x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 384 | $83.6K | $217.70 | 2.76x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 291 | $78.5K | $269.87 | 3.43x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 533 | $59.3K | $111.21 | 2.28x |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 756 | $45.4K | $60.09 | 16.44x |
| 87635 | Sars-cov-2 covid-19 amp prb | 826 | $42.3K | $51.27 | 1.92x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 291 | $39.1K | $134.46 | 3.35x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 400 | $36.0K | $89.94 | 3.99x |
This provider submits charges 3.78 times higher than what Medicare actually pays.
A markup ratio of 3.78x means for every $100 Medicare pays, this provider initially charges $378. 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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