This provider's $4.6M in total Medicare payments ranks in the 98th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 5.2x is significantly above the specialty median of 5.0x.
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 | $666.03 | $94.59 | 7.04x | $571.44 | $352.3K | 5.6K | 2.9K |
| 2015 | $558.94 | $95.72 | 5.84x | $463.22 | $437.1K | 6.3K | 2.9K |
| 2016 | $636.59 | $108.61 | 5.86x | $527.98 | $515.7K | 6.8K | 3.4K |
| 2017 | $654.77 | $141.93 | 4.61x | $512.84 | $608.5K | 5.7K | 3.1K |
| 2018 | $696.33 | $119.71 | 5.82x | $576.62 | $464.3K | 5.5K | 3.0K |
| 2019 | $735.40 | $129.29 | 5.69x | $606.11 | $476.4K | 5.5K | 2.8K |
| 2020 | $736.62 | $131.99 | 5.58x | $604.63 | $404.0K | 4.6K | 2.4K |
| 2021 | $666.45 | $121.59 | 5.48x | $544.86 | $470.7K | 5.3K | 2.9K |
| 2022 | $743.32 | $141.20 | 5.26x | $602.12 | $443.4K | 5.0K | 2.9K |
| 2023 | $807.51 | $141.13 | 5.72x | $666.38 | $392.7K | 4.5K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.9K | $584.1K | $198.96 | 6.34x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.1K | $569.4K | $182.78 | 6.06x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.2K | $538.2K | $457.69 | 5.94x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.1K | $300.1K | $96.63 | 5.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $260.6K | $57.14 | 2.16x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.6K | $250.2K | $37.74 | 2.37x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.2K | $240.7K | $194.44 | 5.70x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.2K | $233.9K | $200.95 | 6.23x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 2.2K | $216.2K | $97.46 | 6.41x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.7K | $152.1K | $89.38 | 5.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $137.6K | $84.85 | 1.92x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 307 | $137.0K | $446.39 | 5.97x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 985 | $126.5K | $128.43 | 2.06x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.2K | $124.6K | $100.90 | 5.80x |
| 80307 | Testing for presence of drug | 1.4K | $94.1K | $67.52 | 4.07x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 415 | $79.5K | $191.45 | 3.66x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 695 | $67.8K | $97.50 | 5.70x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 305 | $65.0K | $212.96 | 6.76x |
| 62311 | Injections of substances into lower or sacral spine | 526 | $64.8K | $123.23 | 6.26x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 558 | $53.9K | $96.67 | 1.03x |
This provider submits charges 5.2 times higher than what Medicare actually pays.
A markup ratio of 5.2x means for every $100 Medicare pays, this provider initially charges $520. 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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