This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 1472% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 911% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $302.00 | $98.27 | 3.07x | $203.73 | $61.9K | 839 | 625 |
| 2017 | $909.67 | $411.73 | 2.21x | $497.94 | $625.3K | 5.4K | 3.2K |
| 2018 | $971.17 | $451.67 | 2.15x | $519.50 | $1.0M | 7.9K | 4.5K |
| 2019 | $995.02 | $479.02 | 2.08x | $516.00 | $1.2M | 8.6K | 4.7K |
| 2020 | $1.1K | $524.30 | 2.15x | $603.57 | $1.2M | 8.1K | 4.3K |
| 2021 | $934.13 | $459.73 | 2.03x | $474.40 | $1.0M | 7.3K | 4.0K |
| 2022 | $1.2K | $512.35 | 2.36x | $694.26 | $997.6K | 6.9K | 3.9K |
| 2023 | $1.3K | $499.41 | 2.57x | $783.53 | $972.1K | 6.8K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.6K | $1.0M | $82.78 | 2.10x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 188 | $881.5K | $4.7K | 2.11x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 169 | $785.5K | $4.6K | 2.16x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.3K | $597.8K | $180.40 | 1.99x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 800 | $410.6K | $513.25 | 3.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.1K | $349.6K | $113.99 | 2.12x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.1K | $333.3K | $55.04 | 2.05x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 859 | $306.6K | $356.97 | 1.95x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.7K | $306.6K | $181.52 | 2.01x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.1K | $214.9K | $196.82 | 1.82x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.2K | $212.8K | $182.51 | 2.02x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 74 | $195.8K | $2.6K | 2.28x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.6K | $156.1K | $95.73 | 1.92x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 749 | $144.9K | $193.44 | 2.01x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 933 | $135.0K | $144.71 | 2.01x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 788 | $131.5K | $166.86 | 1.72x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 292 | $103.1K | $352.95 | 1.99x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 105 | $96.6K | $919.88 | 1.46x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 201 | $89.9K | $447.14 | 1.94x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 891 | $84.7K | $95.03 | 1.90x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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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