This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Medicare payments to this provider grew 1189% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 445% in 2015
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 | $403.15 | $67.00 | 6.02x | $336.15 | $69.0K | 1.1K | 767 |
| 2015 | $698.72 | $95.02 | 7.35x | $603.70 | $375.9K | 4.7K | 2.3K |
| 2016 | $960.17 | $93.39 | 10.28x | $866.78 | $385.5K | 4.6K | 2.1K |
| 2017 | $1.1K | $95.99 | 11.14x | $973.57 | $364.5K | 5.1K | 2.3K |
| 2018 | $927.23 | $102.23 | 9.07x | $825.00 | $478.3K | 11.0K | 4.3K |
| 2019 | $905.60 | $101.55 | 8.92x | $804.05 | $668.4K | 13.1K | 5.0K |
| 2020 | $867.66 | $96.78 | 8.97x | $770.88 | $702.7K | 10.9K | 5.2K |
| 2021 | $757.87 | $97.89 | 7.74x | $659.98 | $720.7K | 10.1K | 4.7K |
| 2022 | $786.10 | $102.01 | 7.71x | $684.09 | $825.5K | 11.6K | 5.2K |
| 2023 | $718.87 | $88.82 | 8.09x | $630.05 | $889.0K | 15.3K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.6K | $1.4M | $90.13 | 2.97x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 3.6K | $870.5K | $242.22 | 3.05x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.4K | $749.4K | $60.32 | 3.06x |
| 80307 | Testing for presence of drug | 5.4K | $336.8K | $62.38 | 3.37x |
| 96138 | Psychological or neuropsychological test administration and scoring by technician, first 30 minutes | 11.5K | $324.4K | $28.25 | 4.25x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1.3K | $249.6K | $195.79 | 3.04x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 967 | $136.7K | $141.40 | 14.11x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 873 | $129.1K | $147.88 | 10.12x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 760 | $118.0K | $155.26 | 3.35x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 541 | $111.7K | $206.40 | 10.68x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 471 | $89.2K | $189.33 | 12.14x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 231 | $76.5K | $331.19 | 9.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 596 | $75.5K | $126.69 | 3.37x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 964 | $70.0K | $72.66 | 14.32x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 827 | $59.3K | $71.65 | 13.49x |
| 92548 | Computerized dynamic assessment of balance and postural instability | 1.1K | $43.1K | $38.23 | 7.85x |
| 77002 | Fluoroscopic guidance for insertion of needle | 658 | $43.1K | $65.49 | 4.68x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 276 | $42.5K | $153.87 | 13.97x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.7K | $36.7K | $13.69 | 7.59x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 448 | $35.4K | $79.02 | 14.57x |
This provider submits charges 4.85 times higher than what Medicare actually pays.
A markup ratio of 4.85x means for every $100 Medicare pays, this provider initially charges $485. 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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