This provider averages 54 services per working day
Based on 134.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.5M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 396% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 138% 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 | $717.10 | $102.79 | 6.98x | $614.31 | $168.5K | 2.7K | 1.1K |
| 2015 | $562.75 | $112.05 | 5.02x | $450.70 | $400.5K | 7.8K | 2.7K |
| 2016 | $422.93 | $97.84 | 4.32x | $325.09 | $511.3K | 9.9K | 3.8K |
| 2017 | $394.22 | $90.58 | 4.35x | $303.64 | $728.0K | 13.5K | 5.0K |
| 2018 | $376.61 | $89.84 | 4.19x | $286.77 | $885.9K | 16.5K | 5.8K |
| 2019 | $326.36 | $78.34 | 4.17x | $248.02 | $953.1K | 17.3K | 5.8K |
| 2020 | $289.61 | $74.23 | 3.90x | $215.38 | $1.1M | 19.2K | 6.1K |
| 2021 | $208.85 | $86.84 | 2.40x | $122.01 | $1.1M | 17.6K | 5.9K |
| 2022 | $180.07 | $88.75 | 2.03x | $91.32 | $872.7K | 15.0K | 4.8K |
| 2023 | $177.41 | $89.08 | 1.99x | $88.33 | $835.2K | 15.1K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.9K | $1.9M | $89.36 | 2.43x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.0K | $1.1M | $186.26 | 3.19x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.6K | $554.9K | $73.27 | 2.85x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.9K | $478.1K | $81.55 | 4.60x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $463.1K | $338.28 | 2.64x |
| 96136 | Psychological or neuropsychological test administration and scoring by qualified health care professional, first 30 minutes | 12.3K | $444.0K | $35.98 | 2.06x |
| 76881 | Complete ultrasound of joint of arm or leg | 4.5K | $234.6K | $52.05 | 2.31x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.2K | $233.7K | $104.02 | 2.23x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.4K | $202.2K | $148.57 | 2.51x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $170.1K | $128.47 | 3.56x |
| 72020 | X-ray of spine, 1 view | 9.0K | $168.7K | $18.81 | 2.84x |
| 72275 | Radiological supervision and interpretation x-ray of covering of spinal cord | 1.4K | $149.0K | $110.13 | 2.20x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.8K | $147.3K | $80.71 | 6.49x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 909 | $143.9K | $158.33 | 3.56x |
| 96103 | Psychological testing with interpretation and report by computer | 5.8K | $126.7K | $21.94 | 3.87x |
| 80305 | Testing for presence of drug | 8.0K | $101.1K | $12.71 | 3.77x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 429 | $82.3K | $191.93 | 3.80x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 9.2K | $79.5K | $8.61 | 4.17x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 872 | $65.5K | $75.08 | 7.19x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 353 | $48.4K | $137.15 | 3.36x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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