This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 221% from 2014 to 2023.
63% of their billing comes from a single procedure code (J3490 — Unclassified drugs).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2020
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 | $413.02 | $83.25 | 4.96x | $329.77 | $335.0K | 4.2K | 2.7K |
| 2015 | $372.22 | $86.52 | 4.30x | $285.70 | $319.7K | 3.9K | 2.5K |
| 2016 | $424.58 | $89.05 | 4.77x | $335.53 | $359.0K | 4.0K | 2.5K |
| 2017 | $401.82 | $88.57 | 4.54x | $313.25 | $348.6K | 3.5K | 2.2K |
| 2018 | $388.33 | $133.16 | 2.92x | $255.17 | $517.0K | 3.1K | 1.9K |
| 2019 | $505.09 | $136.69 | 3.70x | $368.40 | $554.8K | 3.3K | 2.0K |
| 2020 | $479.66 | $159.18 | 3.01x | $320.48 | $849.5K | 3.7K | 2.0K |
| 2021 | $444.20 | $160.63 | 2.77x | $283.57 | $922.0K | 3.7K | 2.0K |
| 2022 | $433.47 | $155.27 | 2.79x | $278.20 | $1.0M | 3.5K | 2.1K |
| 2023 | $443.03 | $155.78 | 2.84x | $287.25 | $1.1M | 3.6K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J3490 | Unclassified drugs | 1.9K | $3.8M | $2.0K | 1.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.7K | $516.1K | $91.03 | 2.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.0K | $371.4K | $61.82 | 2.18x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $229.9K | $94.45 | 10.37x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 1.7K | $153.2K | $90.54 | 3.09x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.5K | $119.5K | $80.72 | 7.25x |
| 62264 | Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day | 581 | $115.2K | $198.34 | 6.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 848 | $112.0K | $132.06 | 2.65x |
| 77002 | Fluoroscopic guidance for insertion of needle | 1.6K | $107.6K | $68.43 | 3.32x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 740 | $68.8K | $92.98 | 3.37x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.4K | $66.7K | $47.01 | 3.83x |
| 62311 | Injections of substances into lower or sacral spine | 914 | $61.6K | $67.38 | 9.65x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 539 | $52.6K | $97.61 | 3.38x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 675 | $50.0K | $74.04 | 3.38x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 543 | $46.7K | $86.01 | 6.80x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 155 | $39.5K | $254.52 | 12.02x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 936 | $39.2K | $41.86 | 3.46x |
| 62310 | Injections of substances into upper or middle spine | 345 | $27.3K | $79.09 | 8.53x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 245 | $27.2K | $111.18 | 2.56x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 395 | $20.8K | $52.63 | 2.76x |
This provider submits charges 2.66 times higher than what Medicare actually pays.
A markup ratio of 2.66x means for every $100 Medicare pays, this provider initially charges $266. 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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