This provider's $3.6M in total Medicare payments ranks in the 97th percentile of Interventional Pain Management providers nationally.
Their average markup ratio of 7.08x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 62% from 2014 to 2023.
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 | $538.22 | $74.81 | 7.19x | $463.41 | $274.7K | 3.8K | 2.4K |
| 2015 | $474.75 | $72.59 | 6.54x | $402.16 | $334.3K | 4.4K | 2.7K |
| 2016 | $572.89 | $86.79 | 6.60x | $486.10 | $353.3K | 4.7K | 2.8K |
| 2017 | $547.54 | $84.49 | 6.48x | $463.05 | $237.3K | 3.4K | 2.2K |
| 2018 | $573.69 | $95.12 | 6.03x | $478.57 | $312.5K | 4.1K | 2.3K |
| 2019 | $610.17 | $103.71 | 5.88x | $506.46 | $354.5K | 4.4K | 2.4K |
| 2020 | $625.42 | $99.25 | 6.30x | $526.17 | $366.7K | 4.4K | 2.4K |
| 2021 | $687.38 | $108.41 | 6.34x | $578.97 | $424.0K | 4.8K | 2.6K |
| 2022 | $830.56 | $125.31 | 6.63x | $705.25 | $473.0K | 5.5K | 3.2K |
| 2023 | $892.34 | $120.77 | 7.39x | $771.57 | $445.0K | 4.9K | 2.9K |
| 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 | 7.1K | $1.4M | $195.71 | 5.11x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 4.0K | $594.8K | $149.33 | 15.61x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.2K | $200.8K | $166.09 | 5.96x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $179.7K | $123.99 | 1.96x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 912 | $177.7K | $194.84 | 3.45x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 894 | $168.7K | $188.74 | 3.54x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $150.1K | $78.34 | 8.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.4K | $148.7K | $62.40 | 2.32x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.9K | $95.6K | $51.25 | 11.01x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.0K | $76.2K | $76.00 | 6.12x |
| 64405 | Injection of anesthetic agent, greater occipital nerve | 756 | $58.3K | $77.07 | 8.71x |
| 62310 | Injections of substances into upper or middle spine | 329 | $49.6K | $150.69 | 4.39x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 585 | $46.5K | $79.48 | 9.78x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 959 | $43.2K | $45.00 | 12.22x |
| 62311 | Injections of substances into lower or sacral spine | 295 | $42.7K | $144.84 | 4.52x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 86 | $37.4K | $435.10 | 5.29x |
| J0702 | Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg | 6.9K | $35.5K | $5.14 | 8.95x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 169 | $27.1K | $160.55 | 7.31x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 80 | $19.2K | $239.60 | 7.64x |
| 73525 | Radiological supervision and interpretation X-ray of hip joint | 117 | $11.3K | $96.80 | 4.62x |
This provider submits charges 7.08 times higher than what Medicare actually pays.
A markup ratio of 7.08x means for every $100 Medicare pays, this provider initially charges $708. 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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