This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 134% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2015
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 | $233.36 | $85.84 | 2.72x | $147.52 | $367.5K | 6.2K | 3.6K |
| 2015 | $235.13 | $90.69 | 2.59x | $144.44 | $622.3K | 9.1K | 4.8K |
| 2016 | $246.37 | $102.66 | 2.40x | $143.71 | $900.8K | 13.0K | 6.5K |
| 2017 | $327.41 | $113.93 | 2.87x | $213.48 | $904.7K | 13.4K | 6.7K |
| 2018 | $247.97 | $100.50 | 2.47x | $147.47 | $880.8K | 13.9K | 6.7K |
| 2019 | $461.99 | $117.95 | 3.92x | $344.04 | $851.2K | 13.0K | 6.1K |
| 2020 | $494.37 | $131.40 | 3.76x | $362.97 | $771.9K | 11.5K | 5.0K |
| 2021 | $475.35 | $139.87 | 3.40x | $335.48 | $836.6K | 11.1K | 5.0K |
| 2022 | $839.40 | $142.96 | 5.87x | $696.44 | $776.9K | 9.8K | 4.4K |
| 2023 | $855.56 | $128.60 | 6.65x | $726.96 | $861.2K | 9.8K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.8K | $1.6M | $77.89 | 3.93x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 5.4K | $902.1K | $168.42 | 4.16x |
| 80307 | Testing for presence of drug | 11.8K | $767.9K | $64.99 | 4.05x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.4K | $670.4K | $194.43 | 3.25x |
| 62311 | Injections of substances into lower or sacral spine | 2.6K | $352.2K | $135.21 | 3.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.1K | $344.7K | $48.31 | 3.67x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.1K | $342.5K | $319.18 | 3.96x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 2.0K | $327.8K | $167.07 | 4.57x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.0K | $188.2K | $183.07 | 3.25x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.4K | $187.0K | $137.74 | 3.48x |
| 62310 | Injections of substances into upper or middle spine | 1.1K | $165.0K | $145.39 | 4.23x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.1K | $142.2K | $134.78 | 4.05x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1.4K | $132.7K | $92.27 | 3.58x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 1.7K | $132.4K | $76.48 | 4.31x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $115.7K | $65.97 | 4.62x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 732 | $111.3K | $152.06 | 4.60x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 13.6K | $104.5K | $7.67 | 3.12x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 953 | $98.2K | $103.01 | 2.76x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.4K | $94.2K | $68.57 | 3.67x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $91.9K | $73.89 | 3.05x |
This provider submits charges 3.86 times higher than what Medicare actually pays.
A markup ratio of 3.86x means for every $100 Medicare pays, this provider initially charges $386. 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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