This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 464% in 2019
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 | $222.92 | $46.53 | 4.79x | $176.39 | $630.6K | 22.4K | 13.3K |
| 2015 | $287.45 | $58.87 | 4.88x | $228.58 | $213.5K | 5.9K | 3.5K |
| 2016 | $537.20 | $116.25 | 4.62x | $420.95 | $220.7K | 2.3K | 1.7K |
| 2017 | $496.28 | $98.49 | 5.04x | $397.79 | $55.5K | 561 | 480 |
| 2018 | $194.51 | $65.47 | 2.97x | $129.04 | $64.6K | 1.0K | 683 |
| 2019 | $207.00 | $91.79 | 2.26x | $115.21 | $364.4K | 3.9K | 1.8K |
| 2020 | $403.41 | $119.71 | 3.37x | $283.70 | $455.5K | 5.6K | 1.8K |
| 2021 | $479.71 | $131.45 | 3.65x | $348.26 | $611.9K | 5.9K | 1.7K |
| 2022 | $161.05 | $62.33 | 2.58x | $98.72 | $481.1K | 5.0K | 1.5K |
| 2023 | $161.73 | $71.82 | 2.25x | $89.91 | $608.2K | 7.1K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 4.3K | $1.0M | $238.94 | 1.58x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.5K | $783.9K | $82.93 | 3.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.1K | $426.1K | $52.84 | 3.93x |
| 80307 | Testing for presence of drug | 4.3K | $264.8K | $61.20 | 1.99x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 211 | $162.4K | $769.87 | 4.92x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1.1K | $109.1K | $96.79 | 3.18x |
| 62311 | Injections of substances into lower or sacral spine | 685 | $88.8K | $129.61 | 5.91x |
| 96132 | Evaluation of neuropsychological test, first hour | 656 | $63.8K | $97.26 | 1.40x |
| 96130 | Evaluation of psychological test, first hour | 660 | $59.7K | $90.46 | 1.39x |
| 82649 | Dihydromorphinone (drug) level | 944 | $32.0K | $33.92 | 3.18x |
| 83789 | Mass spectrometry (laboratory testing method) | 1.3K | $30.6K | $23.94 | 3.05x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 176 | $30.0K | $170.19 | 3.50x |
| 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 | 359 | $27.5K | $76.71 | 3.10x |
| 96103 | Psychological testing with interpretation and report by computer | 1.3K | $25.6K | $19.66 | 11.39x |
| 83992 | PCP drug level | 1.3K | $24.8K | $19.41 | 3.19x |
| 83925 | Opiates (drug) measurement | 932 | $24.2K | $25.92 | 3.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 205 | $24.1K | $117.53 | 3.68x |
| 80154 | Benzodiazepines level | 930 | $22.9K | $24.66 | 3.16x |
| 82646 | Dihydrocodeinone (drug) measurement | 944 | $22.5K | $23.85 | 3.19x |
| 82542 | Chemical analysis using chromatography technique | 944 | $22.5K | $23.84 | 3.19x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. 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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