This provider's $8.3M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $255.31 | $105.51 | 2.42x | $149.80 | $679.7K | 8.0K | 4.6K |
| 2015 | $281.85 | $96.69 | 2.91x | $185.16 | $829.0K | 11.9K | 5.5K |
| 2016 | $1.1K | $448.27 | 2.49x | $669.94 | $908.8K | 9.8K | 5.1K |
| 2017 | $838.52 | $273.67 | 3.06x | $564.85 | $839.6K | 9.4K | 5.1K |
| 2018 | $1.5K | $288.37 | 5.31x | $1.2K | $853.6K | 9.7K | 5.3K |
| 2019 | $653.34 | $110.60 | 5.91x | $542.74 | $774.1K | 10.0K | 6.0K |
| 2020 | $1.4K | $247.21 | 5.62x | $1.1K | $894.5K | 10.8K | 6.2K |
| 2021 | $649.93 | $111.07 | 5.85x | $538.86 | $778.7K | 9.3K | 5.9K |
| 2022 | $757.88 | $136.57 | 5.55x | $621.31 | $798.6K | 9.6K | 6.1K |
| 2023 | $645.10 | $121.62 | 5.30x | $523.48 | $931.7K | 9.9K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 24.5K | $2.0M | $80.43 | 4.22x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 7.5K | $1.6M | $216.28 | 4.35x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $424.3K | $312.69 | 4.66x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.3K | $414.1K | $78.23 | 4.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $409.5K | $54.77 | 4.79x |
| 80307 | Testing for presence of drug | 6.0K | $402.0K | $66.88 | 4.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $365.4K | $120.81 | 4.11x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.9K | $351.9K | $182.82 | 4.67x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 3.0K | $292.7K | $96.92 | 1.91x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 42 | $227.8K | $5.4K | 3.46x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.2K | $215.0K | $184.85 | 5.01x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.3K | $184.0K | $136.37 | 4.55x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.9K | $183.3K | $95.46 | 4.60x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 27 | $150.3K | $5.6K | 3.89x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 1.6K | $122.8K | $77.47 | 2.28x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 602 | $122.2K | $203.04 | 4.52x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 365 | $119.3K | $326.80 | 4.55x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.2K | $112.4K | $93.94 | 4.31x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 537 | $79.4K | $147.82 | 4.48x |
| 77002 | Fluoroscopic guidance for insertion of needle | 985 | $74.5K | $75.60 | 3.88x |
This provider submits charges 4.21 times higher than what Medicare actually pays.
A markup ratio of 4.21x means for every $100 Medicare pays, this provider initially charges $421. 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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