This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 174% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 84% in 2021
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 | $655.21 | $67.98 | 9.64x | $587.23 | $331.3K | 4.5K | 1.8K |
| 2015 | $563.32 | $67.68 | 8.32x | $495.64 | $457.2K | 6.2K | 2.2K |
| 2016 | $672.82 | $89.74 | 7.50x | $583.08 | $519.9K | 6.5K | 2.2K |
| 2017 | $684.66 | $84.93 | 8.06x | $599.73 | $547.7K | 6.7K | 2.3K |
| 2018 | $926.75 | $93.29 | 9.93x | $833.46 | $551.0K | 6.3K | 2.4K |
| 2019 | $939.50 | $106.26 | 8.84x | $833.24 | $630.9K | 6.9K | 2.3K |
| 2020 | $759.41 | $139.85 | 5.43x | $619.56 | $662.8K | 6.7K | 2.0K |
| 2021 | $1.1K | $386.52 | 2.86x | $720.39 | $1.2M | 7.5K | 2.3K |
| 2022 | $851.99 | $168.75 | 5.05x | $683.24 | $862.7K | 7.5K | 2.1K |
| 2023 | $1.0K | $186.71 | 5.51x | $842.93 | $908.4K | 8.1K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 36.0K | $3.5M | $96.34 | 3.42x |
| J3490 | Unclassified drugs | 769 | $828.8K | $1.1K | 1.77x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $330.8K | $137.25 | 14.58x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $197.0K | $138.16 | 3.95x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $187.0K | $87.99 | 3.75x |
| Q4244 | Procenta, per 200 mg | 35 | $167.4K | $4.8K | 1.25x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.3K | $142.5K | $62.87 | 20.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $133.7K | $62.62 | 3.48x |
| Q4162 | Woundex flow, bioskin flow, 0.5 cc | 77 | $128.9K | $1.7K | 1.26x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 609 | $100.8K | $165.49 | 3.34x |
| 76881 | Ultrasound of leg or arm | 1.3K | $83.3K | $62.76 | 3.76x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 820 | $82.9K | $101.12 | 3.26x |
| Q4185 | Cellesta flowable amnion (25 mg per cc); per 0.5 cc | 70 | $81.0K | $1.2K | 1.25x |
| 27369 | Injection of contrast for imaging of knee joint | 449 | $76.5K | $170.37 | 4.15x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.4K | $71.3K | $52.43 | 6.29x |
| 62325 | Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back | 629 | $56.7K | $90.21 | 14.85x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 471 | $54.3K | $115.24 | 17.42x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 494 | $39.6K | $80.12 | 4.26x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 250 | $34.6K | $138.24 | 9.05x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 468 | $31.0K | $66.33 | 14.10x |
This provider submits charges 4.76 times higher than what Medicare actually pays.
A markup ratio of 4.76x means for every $100 Medicare pays, this provider initially charges $476. 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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