This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 20022% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2611% in 2022
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 | $191.87 | $51.18 | 3.75x | $140.69 | $18.3K | 357 | 7 |
| 2015 | $197.68 | $50.66 | 3.90x | $147.02 | $20.5K | 404 | 7 |
| 2016 | $276.77 | $59.62 | 4.64x | $217.15 | $15.3K | 257 | 4 |
| 2017 | $330.00 | $58.11 | 5.68x | $271.89 | $14.7K | 253 | 3 |
| 2018 | $257.84 | $44.45 | 5.80x | $213.39 | $11.9K | 267 | 4 |
| 2019 | $272.04 | $43.99 | 6.18x | $228.05 | $8.2K | 186 | 4 |
| 2020 | $71.35 | $37.67 | 1.89x | $33.68 | $5.8K | 154 | 3 |
| 2021 | $55.46 | $38.68 | 1.43x | $16.78 | $21.7K | 561 | 4 |
| 2022 | $67.31 | $36.74 | 1.83x | $30.57 | $588.3K | 16.0K | 10 |
| 2023 | $73.38 | $40.70 | 1.80x | $32.68 | $3.7M | 90.3K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 98977 | Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days | 47.9K | $2.1M | $43.22 | 1.86x |
| 98980 | Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month | 45.1K | $1.8M | $41.00 | 1.69x |
| 98981 | Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month | 5.1K | $184.7K | $36.18 | 1.68x |
| 98975 | Set-up and patient education for remote monitoring of therapy | 6.5K | $92.1K | $14.18 | 2.84x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 963 | $63.9K | $66.32 | 4.57x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 972 | $37.1K | $38.14 | 1.91x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 792 | $25.9K | $32.75 | 1.78x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 583 | $25.0K | $42.86 | 2.03x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 438 | $20.7K | $47.31 | 4.99x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 93 | $8.2K | $88.03 | 1.99x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 89 | $4.0K | $44.94 | 3.92x |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 44 | $620.67 | $14.11 | 1.68x |
| 94640 | Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen | 48 | $535.35 | $11.15 | 11.64x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 38 | $435.89 | $11.47 | 16.38x |
| 90662 | Vaccine for influenza for injection into muscle | 12 | $410.00 | $34.17 | 1.02x |
| G0008 | Administration of influenza virus vaccine | 13 | $312.01 | $24.00 | 1.91x |
| 81003 | Automated urinalysis test | 66 | $194.24 | $2.94 | 9.10x |
| 87804 | Detection test for influenza virus | 12 | $192.36 | $16.03 | 5.01x |
| 36415 | Insertion of needle into vein for collection of blood sample | 30 | $88.20 | $2.94 | 9.56x |
| 81001 | Manual urinalysis test with examination using microscope | 18 | $76.14 | $4.23 | 8.75x |
This provider submits charges 1.87 times higher than what Medicare actually pays.
A markup ratio of 1.87x means for every $100 Medicare pays, this provider initially charges $187. This is lower 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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