This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Their average markup ratio of 9.22x is significantly above the specialty median of 8.8x.
Medicare payments to this provider grew 1121% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 460% 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 | $1.5K | $118.46 | 13.02x | $1.4K | $97.9K | 953 | 692 |
| 2015 | $1.8K | $115.09 | 15.58x | $1.7K | $547.8K | 6.9K | 3.1K |
| 2016 | $2.0K | $116.73 | 17.40x | $1.9K | $868.1K | 10.9K | 3.8K |
| 2017 | $1.9K | $88.18 | 21.93x | $1.8K | $704.4K | 10.1K | 4.0K |
| 2018 | $1.9K | $80.99 | 23.44x | $1.8K | $373.2K | 5.3K | 1.9K |
| 2019 | $1.6K | $93.00 | 17.62x | $1.5K | $603.1K | 7.1K | 3.0K |
| 2020 | $1.8K | $99.87 | 17.73x | $1.7K | $819.5K | 7.7K | 3.3K |
| 2021 | $1.6K | $114.69 | 14.05x | $1.5K | $1.1M | 9.0K | 3.9K |
| 2022 | $1.8K | $137.28 | 13.38x | $1.7K | $1.5M | 11.6K | 4.4K |
| 2023 | $2.1K | $132.81 | 15.73x | $2.0K | $1.2M | 12.1K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0482 | Drug test def 15-21 classes | 10.1K | $1.9M | $192.20 | 5.14x |
| 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 | 9.1K | $1.4M | $155.21 | 6.44x |
| 80307 | Testing for presence of drug | 18.1K | $1.2M | $66.20 | 10.58x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.1K | $878.3K | $86.79 | 3.72x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.9K | $380.3K | $64.98 | 3.85x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.3K | $239.8K | $186.63 | 25.93x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 443 | $141.7K | $319.90 | 10.22x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $138.7K | $131.43 | 18.80x |
| 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 | 1.8K | $136.9K | $77.54 | 9.03x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 1.9K | $132.0K | $68.29 | 2.20x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 901 | $87.3K | $96.87 | 7.74x |
| G0480 | 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 | 725 | $79.5K | $109.70 | 9.12x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $73.1K | $69.34 | 35.29x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 624 | $72.2K | $115.68 | 3.83x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 931 | $64.4K | $69.20 | 59.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 490 | $64.0K | $130.54 | 4.95x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 438 | $58.1K | $132.54 | 24.29x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 822 | $51.1K | $62.18 | 35.59x |
| G0478 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg immunoassay) read by instrument-assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per da | 2.5K | $48.8K | $19.40 | 34.94x |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 964 | $48.7K | $50.55 | 6.73x |
This provider submits charges 9.22 times higher than what Medicare actually pays.
A markup ratio of 9.22x means for every $100 Medicare pays, this provider initially charges $922. 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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