This provider averages 57 services per working day
Based on 142.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.6M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Their average markup ratio of 7.38x is significantly above the specialty median of 8.8x.
Averaging 57 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $697.91 | $104.43 | 6.68x | $593.48 | $832.7K | 13.1K | 4.0K |
| 2015 | $854.90 | $109.88 | 7.78x | $745.02 | $934.7K | 14.5K | 4.8K |
| 2016 | $784.90 | $93.84 | 8.36x | $691.06 | $898.4K | 13.3K | 4.2K |
| 2017 | $748.86 | $86.51 | 8.66x | $662.35 | $948.7K | 16.6K | 4.6K |
| 2018 | $743.20 | $81.25 | 9.15x | $661.95 | $1.2M | 18.8K | 6.2K |
| 2019 | $679.89 | $80.27 | 8.47x | $599.62 | $843.7K | 14.9K | 5.3K |
| 2020 | $567.08 | $79.78 | 7.11x | $487.30 | $783.5K | 12.7K | 4.3K |
| 2021 | $790.44 | $81.86 | 9.66x | $708.58 | $963.6K | 15.0K | 4.3K |
| 2022 | $779.92 | $78.76 | 9.90x | $701.16 | $546.6K | 10.7K | 3.9K |
| 2023 | $839.41 | $86.86 | 9.66x | $752.55 | $709.1K | 12.7K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.5K | $1.4M | $88.19 | 3.48x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 8.2K | $1.3M | $163.18 | 7.43x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.2K | $759.5K | $57.51 | 3.32x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 7.3K | $548.7K | $74.74 | 7.85x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.4K | $528.3K | $118.90 | 11.41x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 2.7K | $485.4K | $182.62 | 5.73x |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | 12.3K | $399.0K | $32.42 | 3.20x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 4.4K | $298.4K | $67.48 | 18.68x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 2.0K | $267.5K | $135.93 | 10.48x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 12.8K | $256.2K | $19.98 | 4.04x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 12.8K | $234.9K | $18.40 | 4.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $221.7K | $126.66 | 3.73x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 960 | $202.4K | $210.82 | 5.98x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 2.2K | $194.8K | $90.08 | 4.63x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 8.0K | $175.8K | $21.97 | 4.19x |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 3.4K | $170.9K | $50.83 | 18.70x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $161.6K | $69.19 | 17.49x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 2.0K | $152.1K | $76.68 | 17.41x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.5K | $91.9K | $26.32 | 8.76x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 1.1K | $87.3K | $80.87 | 15.72x |
This provider submits charges 7.38 times higher than what Medicare actually pays.
A markup ratio of 7.38x means for every $100 Medicare pays, this provider initially charges $738. 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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