This provider averages 55 services per working day
Based on 137.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 88% 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 | $301.29 | $73.20 | 4.12x | $228.09 | $548.3K | 11.0K | 5.3K |
| 2015 | $369.73 | $138.04 | 2.68x | $231.69 | $813.1K | 15.4K | 9.3K |
| 2016 | $478.02 | $106.66 | 4.48x | $371.36 | $963.2K | 13.6K | 5.6K |
| 2017 | $489.88 | $96.88 | 5.06x | $393.00 | $1.0M | 14.4K | 6.6K |
| 2018 | $538.49 | $92.94 | 5.79x | $445.55 | $1.1M | 14.1K | 6.4K |
| 2019 | $475.78 | $91.20 | 5.22x | $384.58 | $1.1M | 14.1K | 6.3K |
| 2020 | $476.76 | $80.25 | 5.94x | $396.51 | $1.0M | 13.5K | 5.9K |
| 2021 | $524.70 | $87.83 | 5.97x | $436.87 | $1.1M | 13.8K | 6.5K |
| 2022 | $668.93 | $108.12 | 6.19x | $560.81 | $1.2M | 14.7K | 6.5K |
| 2023 | $613.93 | $107.06 | 5.73x | $506.87 | $1.0M | 13.1K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 29.5K | $2.3M | $77.71 | 1.84x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 4.7K | $913.1K | $193.94 | 4.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.4K | $850.2K | $48.82 | 2.33x |
| G0481 | Drug test def 8-14 classes | 5.1K | $728.1K | $144.03 | 5.73x |
| 80307 | Testing for presence of drug | 9.2K | $600.5K | $65.17 | 3.07x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.6K | $422.5K | $270.98 | 4.59x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 6.0K | $417.9K | $69.71 | 3.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $238.6K | $110.98 | 2.48x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $229.9K | $153.57 | 5.94x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 5.4K | $206.8K | $38.27 | 5.23x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $178.8K | $145.52 | 4.13x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 607 | $175.1K | $288.53 | 4.23x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.5K | $169.8K | $109.85 | 9.33x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1.7K | $161.8K | $94.37 | 2.12x |
| 99144 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes | 2.4K | $160.1K | $65.52 | 4.58x |
| 62264 | Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day | 512 | $152.7K | $298.18 | 4.72x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 4.2K | $146.8K | $34.57 | 2.49x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 948 | $138.6K | $146.24 | 2.84x |
| J7999 | Compounded drug, not otherwise classified | 1.9K | $137.4K | $70.69 | 1.69x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 3.8K | $129.4K | $34.18 | 5.18x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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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