This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 1067% from 2014 to 2023.
76% of their billing comes from a single procedure code (J7999 — Compounded drug, not otherwise classified).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% in 2018
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 | $533.27 | $98.76 | 5.40x | $434.51 | $231.4K | 2.7K | 2.0K |
| 2015 | $595.79 | $114.16 | 5.22x | $481.63 | $206.5K | 2.0K | 1.5K |
| 2016 | $618.78 | $122.46 | 5.05x | $496.32 | $297.7K | 2.4K | 1.7K |
| 2017 | $498.58 | $158.14 | 3.15x | $340.44 | $458.5K | 2.6K | 2.0K |
| 2018 | $539.73 | $188.53 | 2.86x | $351.20 | $786.3K | 2.9K | 2.0K |
| 2019 | $592.48 | $225.44 | 2.63x | $367.04 | $1.1M | 3.6K | 2.3K |
| 2020 | $659.99 | $231.34 | 2.85x | $428.65 | $1.3M | 3.3K | 1.9K |
| 2021 | $773.23 | $276.79 | 2.79x | $496.44 | $1.6M | 3.0K | 1.8K |
| 2022 | $733.79 | $285.12 | 2.57x | $448.67 | $2.1M | 3.8K | 2.1K |
| 2023 | $705.60 | $288.47 | 2.45x | $417.13 | $2.7M | 5.6K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7999 | Compounded drug, not otherwise classified | 2.7K | $7.9M | $3.0K | 2.30x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 4.1K | $333.0K | $81.80 | 4.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $271.0K | $64.70 | 2.36x |
| J3490 | Unclassified drugs | 629 | $267.9K | $425.99 | 1.37x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $198.1K | $90.65 | 2.46x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.1K | $184.9K | $163.78 | 2.64x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.0K | $169.3K | $169.09 | 4.06x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 3.3K | $129.0K | $38.57 | 3.49x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 450 | $125.2K | $278.22 | 3.45x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 591 | $122.7K | $207.53 | 2.54x |
| 62350 | Implantation, revision, or repositioning of spinal canal medication catheter | 330 | $103.8K | $314.49 | 3.48x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 995 | $90.2K | $90.70 | 3.79x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 159 | $87.6K | $550.69 | 2.71x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 393 | $76.6K | $194.98 | 5.85x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 408 | $75.3K | $184.44 | 4.24x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 804 | $70.5K | $87.74 | 3.93x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 456 | $55.7K | $122.24 | 4.17x |
| 99144 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes | 1.6K | $51.2K | $31.33 | 5.13x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 445 | $51.2K | $114.95 | 3.78x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 917 | $46.7K | $50.90 | 1.96x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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