Statistical flag only — not an accusation of fraud
⚠️ This provider averages 216 services per working day — physically unusual for an individual practitioner
Based on 539.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Averaging 216 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 39213% from 2014 to 2023.
98% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
This provider has been statistically flagged with a risk score of 72/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 104492% in 2023
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 | $1.0K | $120.60 | 8.52x | $907.25 | $16.2K | 134 | 5 |
| 2015 | $1.1K | $122.78 | 9.03x | $986.13 | $16.5K | 134 | 4 |
| 2016 | $1.3K | $136.82 | 9.69x | $1.2K | $13.8K | 101 | 5 |
| 2017 | $1.3K | $131.33 | 10.27x | $1.2K | $17.9K | 136 | 5 |
| 2018 | $1.3K | $115.44 | 11.52x | $1.2K | $13.2K | 114 | 5 |
| 2019 | $1.5K | $125.00 | 12.37x | $1.4K | $18.5K | 148 | 8 |
| 2020 | $1.2K | $94.04 | 12.72x | $1.1K | $3.5K | 37 | 3 |
| 2021 | $1.6K | $125.80 | 12.40x | $1.4K | $2.0K | 16 | 1 |
| 2022 | $483.80 | $58.41 | 8.28x | $425.39 | $6.1K | 104 | 4 |
| 2023 | $17.90 | $11.79 | 1.52x | $6.11 | $6.4M | 538.8K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 538.2K | $6.3M | $11.76 | 1.52x |
| 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 82 | $22.5K | $274.31 | 9.46x |
| 00810 | Anesthesia for procedure on lower intestine using an endoscope | 150 | $20.9K | $139.24 | 9.26x |
| 00740 | Anesthesia for procedure on gastrointestinal tract using an endoscope | 151 | $20.3K | $134.44 | 9.19x |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 104 | $13.2K | $126.79 | 11.87x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 337 | $11.9K | $35.28 | 1.36x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 246 | $11.0K | $44.63 | 1.42x |
| 00811 | Anesthesia for procedure on large bowel using an endoscope | 73 | $8.5K | $116.89 | 11.88x |
| 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 155 | $6.0K | $38.73 | 12.35x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 48 | $4.7K | $97.12 | 1.31x |
| 00813 | Anesthesia for procedure on esophagus, stomach, small bowel, and/or large bowel using an endoscope | 27 | $3.9K | $146.02 | 11.29x |
| 00400 | Anesthesia for procedure on skin of arms, legs, or trunk | 26 | $3.7K | $141.79 | 10.71x |
| 01936 | Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord | 13 | $2.0K | $151.53 | 11.02x |
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | $1.6K | $115.73 | 12.40x |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 28 | $893.56 | $31.91 | 1.28x |
| 64488 | Injections of local anesthetic for pain control and abdominal wall analgesia on both sides | 12 | $687.24 | $57.27 | 19.49x |
| 76942 | Ultrasonic guidance for needle placement | 23 | $577.30 | $25.10 | 37.91x |
| 64447 | Injection of anesthetic agent, thigh nerve | 11 | $550.37 | $50.03 | 21.35x |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 12 | $486.54 | $40.55 | 1.28x |
| 36410 | Insertion of needle into vein, patient 3 years or older | 15 | $94.97 | $6.33 | 21.95x |
This provider submits charges 1.66 times higher than what Medicare actually pays.
A markup ratio of 1.66x means for every $100 Medicare pays, this provider initially charges $166. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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