This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Their average markup ratio of 6.47x is significantly above the specialty median of 8.8x.
Medicare payments to this provider grew 91% from 2014 to 2023.
63% of their billing comes from a single procedure code (J7999 — Compounded drug, not otherwise classified).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1834% in 2020
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 | $1.2K | $120.16 | 9.97x | $1.1K | $606.4K | 4.1K | 1.4K |
| 2015 | $1.4K | $166.98 | 8.20x | $1.2K | $930.8K | 4.2K | 1.4K |
| 2016 | $1.0K | $108.37 | 9.43x | $913.83 | $316.5K | 3.5K | 1.6K |
| 2017 | $1.1K | $99.51 | 11.19x | $1.0K | $166.7K | 2.1K | 1.1K |
| 2018 | $1.2K | $106.84 | 10.87x | $1.1K | $131.0K | 1.6K | 940 |
| 2019 | $1.0K | $108.14 | 9.26x | $893.67 | $104.9K | 1.3K | 882 |
| 2020 | $1.7K | $271.45 | 6.11x | $1.4K | $2.0M | 2.9K | 1.0K |
| 2021 | $1.5K | $220.74 | 6.63x | $1.2K | $1.5M | 4.0K | 1.2K |
| 2022 | $2.1K | $259.55 | 8.20x | $1.9K | $1.5M | 2.5K | 867 |
| 2023 | $2.7K | $308.68 | 8.59x | $2.3K | $1.2M | 2.8K | 771 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7999 | Compounded drug, not otherwise classified | 1.6K | $5.2M | $3.3K | 6.37x |
| J3490 | Unclassified drugs | 708 | $938.0K | $1.3K | 8.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.0K | $864.5K | $95.83 | 2.35x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 2.9K | $277.6K | $95.36 | 5.77x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 2.3K | $221.8K | $94.50 | 7.94x |
| 80307 | Testing for presence of drug | 2.7K | $189.1K | $70.78 | 7.77x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 1.4K | $104.8K | $77.19 | 7.12x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.1K | $87.3K | $79.99 | 11.99x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 240 | $56.5K | $235.48 | 4.95x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 910 | $56.4K | $61.96 | 2.10x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 349 | $47.1K | $134.88 | 2.86x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 352 | $35.1K | $99.66 | 11.62x |
| 62311 | Injections of substances into lower or sacral spine | 504 | $33.9K | $67.33 | 11.88x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 134 | $32.2K | $240.50 | 4.16x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 369 | $31.6K | $85.52 | 9.35x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 105 | $26.2K | $249.54 | 16.03x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 634 | $23.6K | $37.25 | 13.42x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 486 | $23.4K | $48.20 | 12.45x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 219 | $22.0K | $100.33 | 9.49x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 659 | $21.2K | $32.22 | 3.99x |
This provider submits charges 6.47 times higher than what Medicare actually pays.
A markup ratio of 6.47x means for every $100 Medicare pays, this provider initially charges $647. 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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