This provider's $5.7M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Their average markup ratio of 7.07x is significantly above the specialty median of 5.1x.
Medicare payments to this provider grew 1457% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 91% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $792.51 | $78.73 | 10.07x | $713.78 | $89.4K | 1.4K | 956 |
| 2015 | $871.93 | $78.40 | 11.12x | $793.53 | $104.4K | 1.4K | 995 |
| 2016 | $849.73 | $74.93 | 11.34x | $774.80 | $131.7K | 1.8K | 1.1K |
| 2017 | $837.51 | $76.23 | 10.99x | $761.28 | $251.2K | 3.4K | 2.1K |
| 2018 | $1.0K | $93.75 | 10.79x | $917.47 | $435.3K | 5.5K | 2.8K |
| 2019 | $890.38 | $90.94 | 9.79x | $799.44 | $498.8K | 7.0K | 3.3K |
| 2020 | $1.1K | $137.81 | 7.93x | $955.71 | $577.5K | 8.1K | 3.7K |
| 2021 | $1.2K | $130.49 | 9.23x | $1.1K | $965.0K | 11.1K | 4.9K |
| 2022 | $1.2K | $125.82 | 9.61x | $1.1K | $1.2M | 14.9K | 6.1K |
| 2023 | $1.3K | $128.75 | 10.06x | $1.2K | $1.4M | 17.6K | 7.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.3K | $1.9M | $93.58 | 4.90x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.0K | $438.9K | $145.96 | 8.33x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 471 | $385.6K | $818.59 | 7.02x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $286.7K | $151.04 | 14.37x |
| G0483 | 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 | 921 | $224.6K | $243.87 | 4.10x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.1K | $220.0K | $42.93 | 4.09x |
| 80307 | Testing for presence of drug | 3.6K | $220.0K | $61.34 | 4.82x |
| G0480 | 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 | 1.8K | $200.8K | $112.82 | 5.12x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $163.8K | $150.86 | 8.81x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $162.0K | $144.27 | 12.62x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $157.1K | $128.87 | 3.93x |
| G0481 | 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 | 844 | $130.5K | $154.66 | 5.06x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 718 | $130.0K | $181.02 | 5.80x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 367 | $91.4K | $249.09 | 9.86x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.3K | $83.2K | $61.73 | 15.79x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.0K | $78.9K | $76.10 | 11.36x |
| 77002 | Fluoroscopic guidance for insertion of needle | 743 | $64.5K | $86.75 | 4.60x |
| 62311 | Injections of substances into lower or sacral spine | 787 | $55.8K | $70.96 | 12.41x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 450 | $55.4K | $123.05 | 10.13x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 202 | $54.3K | $268.97 | 30.11x |
This provider submits charges 7.07 times higher than what Medicare actually pays.
A markup ratio of 7.07x means for every $100 Medicare pays, this provider initially charges $707. 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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