This provider averages 66 services per working day
Based on 131.6K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.7M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Averaging 66 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1408% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 263% 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 | $140.30 | $81.17 | 1.73x | $59.13 | $219.2K | 2.7K | 11 |
| 2017 | $166.32 | $71.36 | 2.33x | $94.96 | $796.0K | 11.2K | 16 |
| 2018 | $189.86 | $69.45 | 2.73x | $120.41 | $578.7K | 8.3K | 11 |
| 2019 | $196.91 | $61.94 | 3.18x | $134.97 | $901.5K | 14.6K | 11 |
| 2020 | $196.54 | $64.17 | 3.06x | $132.37 | $964.6K | 15.0K | 10 |
| 2021 | $197.03 | $68.77 | 2.87x | $128.26 | $1.2M | 18.0K | 9 |
| 2022 | $199.94 | $74.31 | 2.69x | $125.63 | $1.7M | 23.4K | 11 |
| 2023 | $191.57 | $86.06 | 2.23x | $105.51 | $3.3M | 38.4K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 88.2K | $5.7M | $64.49 | 2.92x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 16.0K | $1.4M | $88.88 | 2.14x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 5.4K | $748.0K | $139.31 | 1.88x |
| 11044 | Removal of bone, 20.0 sq cm or less | 2.1K | $454.1K | $220.11 | 1.61x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 7.6K | $417.9K | $55.23 | 2.51x |
| 11047 | Removal of bone, each additional 20.0 sq cm or less | 3.9K | $380.6K | $98.21 | 2.09x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 3.3K | $130.3K | $39.70 | 3.51x |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 735 | $111.4K | $151.55 | 2.19x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.0K | $101.4K | $98.16 | 2.01x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 474 | $55.6K | $117.39 | 2.33x |
| 99497 | Advance care planning, first 30 minutes | 636 | $45.1K | $70.92 | 2.40x |
| 99350 | Established patient home visit, typically 60 minutes | 250 | $39.6K | $158.52 | 1.68x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 217 | $25.2K | $116.30 | 2.28x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 346 | $23.4K | $67.54 | 2.95x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 496 | $21.7K | $43.72 | 2.28x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 246 | $16.9K | $68.54 | 3.46x |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 138 | $16.3K | $118.21 | 2.40x |
| 99498 | Advance care planning, each additional 30 minutes | 191 | $12.5K | $65.70 | 2.38x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 61 | $7.9K | $130.15 | 2.67x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 29 | $6.1K | $209.98 | 1.67x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. 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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