This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Anesthesiology providers nationally.
Their average markup ratio of 16.29x is significantly above the specialty median of 8.8x.
AI-generated analysis based on Medicare payment data.
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 | $1.3K | $78.64 | 16.93x | $1.3K | $335.1K | 4.1K | 1.3K |
| 2015 | $1.3K | $79.76 | 16.27x | $1.2K | $376.8K | 4.2K | 1.3K |
| 2016 | $2.3K | $104.53 | 21.99x | $2.2K | $365.1K | 4.4K | 1.4K |
| 2017 | $1.6K | $100.00 | 15.61x | $1.5K | $401.9K | 4.5K | 1.4K |
| 2018 | $1.7K | $101.62 | 16.62x | $1.6K | $457.5K | 5.3K | 1.5K |
| 2019 | $1.8K | $92.07 | 19.24x | $1.7K | $492.5K | 5.8K | 1.5K |
| 2020 | $1.7K | $95.46 | 17.83x | $1.6K | $500.7K | 5.6K | 1.6K |
| 2021 | $1.9K | $108.38 | 17.81x | $1.8K | $523.5K | 4.7K | 1.5K |
| 2022 | $2.0K | $99.74 | 19.89x | $1.9K | $478.3K | 4.1K | 1.3K |
| 2023 | $2.4K | $100.42 | 23.60x | $2.3K | $394.9K | 3.5K | 858 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7999 | Compounded drug, not otherwise classified | 2.1K | $1.1M | $506.44 | 37.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.8K | $806.9K | $58.36 | 3.34x |
| 80307 | Testing for presence of drug | 5.0K | $325.6K | $65.43 | 8.41x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 2.7K | $257.6K | $95.20 | 4.36x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 3.6K | $243.3K | $67.45 | 3.82x |
| J3490 | Unclassified drugs | 568 | $241.1K | $424.40 | 26.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.9K | $241.0K | $82.69 | 4.83x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1.8K | $172.0K | $96.49 | 5.70x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 2.7K | $127.7K | $47.51 | 12.63x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 1.1K | $113.6K | $98.85 | 4.55x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 736 | $76.9K | $104.43 | 21.29x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 975 | $73.8K | $75.66 | 7.27x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 325 | $71.5K | $219.88 | 10.25x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 742 | $68.5K | $92.35 | 22.20x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 600 | $47.9K | $79.83 | 10.02x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 498 | $43.3K | $86.99 | 18.54x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 397 | $41.5K | $104.57 | 14.18x |
| 62367 | Electronic analysis of spinal canal drug infusion pump | 1.1K | $32.2K | $30.31 | 28.70x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 135 | $29.8K | $220.55 | 10.07x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 601 | $27.7K | $46.07 | 28.95x |
This provider submits charges 16.29 times higher than what Medicare actually pays.
A markup ratio of 16.29x means for every $100 Medicare pays, this provider initially charges $1629. 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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