This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.
Medicare payments to this provider grew 518% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 127% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $690.58 | $75.52 | 9.14x | $615.06 | $185.6K | 3.1K | 2.1K |
| 2015 | $362.47 | $65.36 | 5.55x | $297.11 | $255.5K | 4.2K | 2.2K |
| 2016 | $1.2K | $311.92 | 3.99x | $931.70 | $581.2K | 4.8K | 2.3K |
| 2017 | $621.93 | $135.13 | 4.60x | $486.80 | $788.8K | 7.0K | 3.6K |
| 2018 | $512.98 | $115.00 | 4.46x | $397.98 | $952.4K | 10.8K | 5.5K |
| 2019 | $497.72 | $112.39 | 4.43x | $385.33 | $809.7K | 12.3K | 5.4K |
| 2020 | $407.29 | $105.65 | 3.86x | $301.64 | $563.7K | 5.8K | 3.1K |
| 2021 | $371.81 | $94.80 | 3.92x | $277.01 | $630.2K | 8.3K | 3.9K |
| 2022 | $306.55 | $90.14 | 3.40x | $216.41 | $723.1K | 8.4K | 4.1K |
| 2023 | $333.46 | $95.14 | 3.50x | $238.32 | $1.1M | 12.3K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 6.1K | $1.5M | $239.20 | 1.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.9K | $1.3M | $83.30 | 3.47x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.5K | $480.4K | $194.34 | 4.82x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 11.5K | $433.8K | $37.71 | 2.80x |
| 80307 | Testing for presence of drug | 5.2K | $334.4K | $63.71 | 2.51x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.0K | $298.9K | $289.39 | 4.09x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.4K | $284.7K | $121.13 | 4.14x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 950 | $169.8K | $178.78 | 5.19x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $138.6K | $56.48 | 3.93x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.0K | $124.6K | $120.97 | 4.14x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 732 | $122.4K | $167.23 | 4.10x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 399 | $117.1K | $293.56 | 3.80x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 634 | $110.8K | $174.70 | 3.78x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 930 | $86.8K | $93.35 | 5.06x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 426 | $82.4K | $193.38 | 5.39x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 90 | $75.1K | $834.35 | 4.13x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 979 | $71.0K | $72.54 | 4.83x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 12 | $69.7K | $5.8K | 3.86x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 658 | $65.7K | $99.90 | 5.16x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 622 | $53.4K | $85.88 | 3.74x |
This provider submits charges 3.51 times higher than what Medicare actually pays.
A markup ratio of 3.51x means for every $100 Medicare pays, this provider initially charges $351. 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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