This provider's $4.7M 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 170% 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 | $266.91 | $59.50 | 4.49x | $207.41 | $231.1K | 4.6K | 2.6K |
| 2015 | $265.59 | $64.10 | 4.14x | $201.49 | $373.8K | 5.5K | 3.2K |
| 2016 | $306.08 | $81.02 | 3.78x | $225.06 | $294.5K | 3.7K | 2.0K |
| 2017 | $282.92 | $73.17 | 3.87x | $209.75 | $272.2K | 3.3K | 1.8K |
| 2018 | $144.44 | $59.19 | 2.44x | $85.25 | $357.1K | 6.1K | 4.4K |
| 2019 | $153.79 | $58.30 | 2.64x | $95.49 | $963.2K | 21.7K | 7.3K |
| 2020 | $173.30 | $62.23 | 2.78x | $111.07 | $736.3K | 15.6K | 4.9K |
| 2021 | $169.92 | $66.05 | 2.57x | $103.87 | $632.9K | 14.2K | 3.7K |
| 2022 | $183.83 | $66.08 | 2.78x | $117.75 | $466.2K | 9.2K | 3.3K |
| 2023 | $265.63 | $96.14 | 2.76x | $169.49 | $346.5K | 5.3K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 10.7K | $1.8M | $169.73 | 2.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $442.2K | $60.29 | 2.54x |
| 62311 | Injections of substances into lower or sacral spine | 5.9K | $417.9K | $70.83 | 6.03x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 4.5K | $365.1K | $81.55 | 2.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $305.6K | $131.20 | 2.21x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $286.8K | $86.64 | 2.35x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 973 | $161.6K | $166.06 | 2.61x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 7.9K | $141.2K | $17.93 | 3.43x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 6.6K | $140.8K | $21.45 | 3.43x |
| 77003 | Fluoroscopic guidance for spine or spinal canal injection | 3.0K | $103.1K | $34.04 | 4.23x |
| 62310 | Injections of substances into upper or middle spine | 737 | $60.1K | $81.59 | 5.98x |
| 97032 | Application of electrical stimulation to 1 or more areas, each 15 minutes | 5.9K | $57.1K | $9.69 | 4.07x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.1K | $49.5K | $44.87 | 2.80x |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 732 | $48.0K | $65.55 | 2.56x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1.6K | $42.0K | $26.30 | 2.70x |
| 20553 | Injections of trigger points in 3 or more muscles | 818 | $33.2K | $40.58 | 4.08x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 213 | $25.0K | $117.39 | 3.48x |
| 97535 | Self-care or home management training, each 15 minutes | 936 | $22.2K | $23.77 | 2.67x |
| 97161 | Evaluation of physical therapy, typically 20 minutes | 316 | $21.5K | $68.04 | 2.60x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 221 | $18.9K | $85.33 | 2.65x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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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