This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Their average markup ratio of 10.79x is significantly above the specialty median of 5.1x.
Medicare payments to this provider grew 2797% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 341% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $386.83 | $69.42 | 5.57x | $317.41 | $46.4K | 799 | 600 |
| 2016 | $379.00 | $68.34 | 5.55x | $310.66 | $205.0K | 3.4K | 2.3K |
| 2017 | $833.14 | $83.01 | 10.04x | $750.13 | $377.6K | 5.3K | 3.3K |
| 2018 | $1.4K | $101.21 | 13.69x | $1.3K | $472.9K | 6.4K | 4.1K |
| 2019 | $3.8K | $381.56 | 10.02x | $3.4K | $823.5K | 8.4K | 4.9K |
| 2020 | $4.8K | $516.90 | 9.28x | $4.3K | $1.2M | 9.8K | 5.5K |
| 2021 | $4.6K | $487.99 | 9.51x | $4.2K | $1.4M | 9.4K | 6.1K |
| 2022 | $4.9K | $502.21 | 9.69x | $4.4K | $1.3M | 8.9K | 6.2K |
| 2023 | $4.7K | $442.33 | 10.71x | $4.3K | $1.3M | 9.2K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 193 | $869.9K | $4.5K | 8.68x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 193 | $854.5K | $4.4K | 8.88x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.4K | $785.1K | $178.42 | 12.27x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.0K | $646.4K | $319.66 | 10.78x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $538.9K | $177.90 | 11.23x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 146 | $349.8K | $2.4K | 9.88x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.8K | $325.2K | $179.16 | 12.44x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.1K | $293.3K | $138.73 | 10.25x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $277.4K | $93.10 | 12.05x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.9K | $273.9K | $55.51 | 11.06x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.4K | $230.8K | $160.94 | 10.31x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $208.4K | $76.55 | 11.69x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 906 | $174.9K | $193.07 | 9.15x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 329 | $165.7K | $503.75 | 24.20x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.7K | $156.8K | $91.70 | 12.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $146.9K | $76.91 | 9.94x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 338 | $121.9K | $360.78 | 10.47x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 902 | $88.6K | $98.27 | 11.13x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 8.4K | $77.6K | $9.19 | 6.58x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 974 | $75.3K | $77.34 | 10.36x |
This provider submits charges 10.79 times higher than what Medicare actually pays.
A markup ratio of 10.79x means for every $100 Medicare pays, this provider initially charges $1079. 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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