This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Their average markup ratio of 13.68x is significantly above the specialty median of 8.8x.
Medicare payments to this provider grew 122% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $945.60 | $84.89 | 11.14x | $860.71 | $367.8K | 6.9K | 3.5K |
| 2015 | $1.1K | $96.84 | 11.77x | $1.0K | $537.1K | 7.7K | 4.0K |
| 2016 | $1.3K | $118.84 | 11.21x | $1.2K | $670.9K | 8.9K | 4.2K |
| 2017 | $1.3K | $99.55 | 13.36x | $1.2K | $712.2K | 9.5K | 4.6K |
| 2018 | $1.5K | $101.69 | 14.76x | $1.4K | $795.5K | 10.8K | 4.7K |
| 2019 | $1.7K | $135.25 | 12.88x | $1.6K | $916.3K | 12.8K | 5.2K |
| 2020 | $1.7K | $141.15 | 12.26x | $1.6K | $1.0M | 13.2K | 5.1K |
| 2021 | $1.9K | $174.16 | 11.06x | $1.8K | $935.7K | 11.5K | 4.9K |
| 2022 | $2.2K | $187.48 | 11.73x | $2.0K | $798.5K | 9.5K | 4.1K |
| 2023 | $2.2K | $189.05 | 11.84x | $2.0K | $815.0K | 9.3K | 3.8K |
| 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 | 4.3K | $966.3K | $224.77 | 11.80x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 5.6K | $950.4K | $171.12 | 15.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.4K | $863.3K | $60.06 | 4.37x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.6K | $696.3K | $194.83 | 17.48x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.0K | $579.1K | $194.91 | 20.49x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.8K | $367.8K | $202.44 | 19.14x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.1K | $366.5K | $331.36 | 7.57x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.3K | $337.5K | $101.28 | 20.25x |
| 62311 | Injections of substances into lower or sacral spine | 1.8K | $246.3K | $134.47 | 9.19x |
| 20553 | Injections of trigger points in 3 or more muscles | 8.5K | $217.8K | $25.73 | 31.14x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.8K | $178.3K | $99.06 | 19.74x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.7K | $177.7K | $102.82 | 22.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $169.3K | $77.71 | 4.01x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 729 | $164.1K | $225.09 | 12.27x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.9K | $153.6K | $81.33 | 5.16x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 728 | $142.6K | $195.88 | 21.29x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 989 | $140.9K | $142.45 | 9.94x |
| 77003 | Fluoroscopic guidance for spine or spinal canal injection | 2.1K | $140.7K | $66.06 | 4.68x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 16.4K | $136.9K | $8.35 | 3.21x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 94 | $110.8K | $1.2K | 5.44x |
This provider submits charges 13.68 times higher than what Medicare actually pays.
A markup ratio of 13.68x means for every $100 Medicare pays, this provider initially charges $1368. 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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