This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 421% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 71% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $316.76 | $72.67 | 4.36x | $244.09 | $165.1K | 2.5K | 1.7K |
| 2015 | $376.28 | $66.85 | 5.63x | $309.43 | $198.5K | 3.1K | 2.0K |
| 2016 | $381.34 | $63.70 | 5.99x | $317.64 | $340.4K | 5.6K | 3.4K |
| 2017 | $376.21 | $79.97 | 4.70x | $296.24 | $407.8K | 5.9K | 3.7K |
| 2018 | $395.42 | $71.35 | 5.54x | $324.07 | $355.2K | 7.0K | 4.3K |
| 2019 | $323.82 | $53.85 | 6.01x | $269.97 | $523.6K | 11.8K | 5.7K |
| 2020 | $269.74 | $51.45 | 5.24x | $218.29 | $672.4K | 16.1K | 6.6K |
| 2021 | $288.60 | $54.30 | 5.31x | $234.30 | $695.1K | 15.5K | 6.0K |
| 2022 | $341.72 | $85.75 | 3.99x | $255.97 | $795.0K | 16.0K | 6.2K |
| 2023 | $424.15 | $89.24 | 4.75x | $334.91 | $860.6K | 19.6K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.8K | $1.6M | $92.43 | 2.47x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.3K | $390.8K | $168.46 | 2.98x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 8.5K | $362.6K | $42.50 | 1.82x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.7K | $275.5K | $59.03 | 2.66x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 6.0K | $220.9K | $36.77 | 2.09x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 569 | $176.7K | $310.58 | 6.26x |
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 1.8K | $136.3K | $74.53 | 1.61x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $128.0K | $107.39 | 6.07x |
| 95972 | Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour | 2.6K | $119.9K | $45.82 | 3.27x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 3.0K | $101.2K | $34.16 | 5.85x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 459 | $95.2K | $207.32 | 9.01x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.7K | $87.5K | $15.46 | 3.39x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 3.9K | $74.8K | $19.23 | 5.05x |
| 99489 | Complex chronic care management services each additional 30 minutes clinical staff time | 1.8K | $69.1K | $37.82 | 1.67x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.2K | $60.8K | $49.75 | 8.95x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $59.1K | $50.50 | 4.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 890 | $51.8K | $58.21 | 2.34x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 539 | $49.4K | $91.61 | 6.58x |
| 99144 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes | 1.4K | $45.0K | $31.68 | 3.95x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 262 | $44.0K | $167.91 | 3.55x |
This provider submits charges 3.52 times higher than what Medicare actually pays.
A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. 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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