This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 3934% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 251% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $240.75 | $115.00 | 2.09x | $125.75 | $19.5K | 173 | 135 |
| 2016 | $290.48 | $95.33 | 3.05x | $195.15 | $60.9K | 596 | 325 |
| 2017 | $306.18 | $88.18 | 3.47x | $218.00 | $139.8K | 1.2K | 510 |
| 2018 | $350.37 | $96.95 | 3.61x | $253.42 | $491.4K | 5.1K | 2.1K |
| 2019 | $348.33 | $83.74 | 4.16x | $264.59 | $836.3K | 10.8K | 4.0K |
| 2020 | $326.91 | $81.04 | 4.03x | $245.87 | $935.7K | 12.0K | 3.3K |
| 2021 | $328.86 | $87.34 | 3.77x | $241.52 | $886.5K | 9.5K | 3.2K |
| 2022 | $294.55 | $90.66 | 3.25x | $203.89 | $819.6K | 8.6K | 3.1K |
| 2023 | $331.08 | $100.21 | 3.30x | $230.87 | $787.5K | 7.2K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 15.7K | $1.9M | $123.55 | 2.13x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.2K | $973.3K | $95.43 | 2.44x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 14.0K | $752.9K | $53.88 | 6.51x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 3.2K | $429.3K | $133.54 | 2.62x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 5.2K | $368.0K | $70.50 | 4.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $198.2K | $62.85 | 2.67x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 963 | $150.7K | $156.48 | 2.23x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 780 | $76.6K | $98.18 | 3.56x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 190 | $25.4K | $133.74 | 3.74x |
| 62311 | Injections of substances into lower or sacral spine | 176 | $12.6K | $71.33 | 4.94x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 189 | $10.5K | $55.81 | 8.96x |
| 80305 | Testing for presence of drug | 807 | $10.1K | $12.55 | 2.24x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 51 | $6.9K | $135.07 | 2.06x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 88 | $6.3K | $72.02 | 7.50x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 56 | $4.2K | $74.94 | 2.44x |
| 62322 | Injection of substance into spinal canal of lower back or sacrum | 42 | $2.8K | $65.73 | 11.41x |
| 62310 | Injections of substances into upper or middle spine | 30 | $2.6K | $85.98 | 4.57x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 17 | $1.8K | $106.52 | 3.29x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 243 | $1.2K | $4.91 | 2.06x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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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