This provider's $9.2M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Their average markup ratio of 5.2x is significantly above the specialty median of 8.8x.
62% of their billing comes from a single procedure code (G0483 — Drug test def 22+ classes).
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 | $757.64 | $72.89 | 10.39x | $684.75 | $727.0K | 18.7K | 8.5K |
| 2015 | $610.23 | $66.38 | 9.19x | $543.85 | $639.1K | 15.3K | 5.2K |
| 2016 | $742.73 | $82.77 | 8.97x | $659.96 | $888.8K | 8.2K | 3.8K |
| 2017 | $795.70 | $94.77 | 8.40x | $700.93 | $792.2K | 5.0K | 2.5K |
| 2018 | $772.68 | $86.44 | 8.94x | $686.24 | $984.9K | 6.9K | 2.9K |
| 2019 | $892.92 | $95.94 | 9.31x | $796.98 | $1.3M | 8.0K | 3.2K |
| 2020 | $836.62 | $97.46 | 8.58x | $739.16 | $1.1M | 6.6K | 2.5K |
| 2021 | $698.53 | $90.01 | 7.76x | $608.52 | $1.0M | 6.7K | 2.6K |
| 2022 | $722.65 | $90.98 | 7.94x | $631.67 | $913.6K | 6.0K | 2.4K |
| 2023 | $673.65 | $86.09 | 7.82x | $587.56 | $886.9K | 5.7K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 22.2K | $5.3M | $238.95 | 3.60x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.3K | $843.3K | $81.71 | 5.23x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.3K | $486.0K | $112.90 | 9.22x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.1K | $289.9K | $261.17 | 7.92x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 2.7K | $258.8K | $95.83 | 4.78x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $196.0K | $118.55 | 5.57x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $176.9K | $115.57 | 9.35x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 528 | $135.1K | $255.83 | 8.40x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $104.9K | $43.59 | 9.46x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 762 | $98.5K | $129.23 | 9.08x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $97.6K | $65.09 | 8.27x |
| 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 | 1.1K | $86.1K | $77.16 | 4.11x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.1K | $82.4K | $76.82 | 11.32x |
| 64640 | Destruction of peripheral nerve or branch | 1.2K | $71.1K | $60.48 | 15.64x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 860 | $70.7K | $82.20 | 5.35x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 248 | $60.0K | $241.94 | 22.10x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 749 | $53.7K | $71.76 | 8.40x |
| 64634 | Destruction of upper or middle spinal facet joint nerves with imaging guidance | 517 | $42.9K | $83.00 | 11.75x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 1.6K | $40.5K | $25.95 | 4.08x |
| 82492 | Chemical analysis | 1.6K | $37.7K | $24.09 | 4.11x |
This provider submits charges 5.2 times higher than what Medicare actually pays.
A markup ratio of 5.2x means for every $100 Medicare pays, this provider initially charges $520. 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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