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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Anesthesiology
  4. Fraud Risk

Medicare Fraud Risk in Anesthesiology

13 flagged Anesthesiology providers identified through statistical anomaly detection.

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Flagged Providers

13

of 342.8K total

Average Risk Score

71/100

Specialty Markup

8.8x

Total Payments

$9.2B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Anesthesiology providers.

💰 Outlier Spending13 providers
👥 Beneficiary Stuffing13 providers
📊 Volume Anomaly13 providers
📈 High Markup11 providers

Top Flagged Anesthesiology Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Keeran KumarEncinitas, CA79$517.2K103.2xoutlier spending, high markup
Ednan SheikhClifton, NJ74$589.5K171.7xoutlier spending, high markup
Luke LiuAnchorage, AK73$927.1K38.5xoutlier spending, high markup
Amir BaluchMiami, FL72$6.4M1.4xoutlier spending, beneficiary stuffing
Neil MalhotraOrland Park, IL72$347.5K81.0xoutlier spending, high markup
Eric VesselsGlasgow, KY72$304.1K94.8xoutlier spending, high markup
John GardnerFranklin, KY72$266.2K104.1xoutlier spending, high markup
Rodney MillerBowling Green, KY71$234.0K103.8xoutlier spending, high markup
Trusha ShahLake Success, NY67$683.0K37.1xoutlier spending, high markup
Amr MorsyRockwall, TX67$524.5K42.3xoutlier spending, high markup
Todd BesselievreGreenwood, MS67$330.2K95.6xoutlier spending, high markup
Kashif IrfanMesquite, TX67$258.0K133.7xoutlier spending, high markup
Zachary LipmanChico, CA66$2.8M10.5xoutlier spending, beneficiary stuffing

Markup by Specialty

How Anesthesiology markup compares to other specialties.

Anesthesiology Assistant
12.2x
Dental Anesthesiology
12.2x
Certified Registered Nurse Anesthetist (CRNA)
9.7x
Anesthesiologist Assistants
9.6x
Anesthesiology
8.8x
CRNA
7.4x
Emergency Medicine
7.1x
Radiation Therapy Center
7.1x
Radiation Therapy
6.1x
Ambulatory Surgical Center
6.1x
Independent Diagnostic Testing Facility (IDTF)
6.1x
Neurosurgery
5.9x
Independent Diagnostic Testing Facility
5.5x
Diagnostic Radiology
5.4x
Interventional Radiology
5.1x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.