This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 105% from 2014 to 2023.
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 | $164.05 | $100.75 | 1.63x | $63.30 | $504.5K | 6.4K | 1.9K |
| 2015 | $212.64 | $93.65 | 2.27x | $118.99 | $669.8K | 8.4K | 2.3K |
| 2016 | $141.22 | $95.08 | 1.49x | $46.14 | $700.6K | 9.2K | 2.7K |
| 2017 | $141.18 | $93.22 | 1.51x | $47.96 | $754.6K | 10.6K | 3.2K |
| 2018 | $147.94 | $92.40 | 1.60x | $55.54 | $723.2K | 10.7K | 3.5K |
| 2019 | $152.02 | $94.57 | 1.61x | $57.45 | $800.6K | 12.3K | 4.0K |
| 2020 | $169.05 | $92.98 | 1.82x | $76.07 | $882.2K | 13.0K | 4.0K |
| 2021 | $274.65 | $94.33 | 2.91x | $180.32 | $1.0M | 14.1K | 4.3K |
| 2022 | $209.34 | $98.28 | 2.13x | $111.06 | $965.0K | 14.0K | 4.4K |
| 2023 | $279.53 | $98.32 | 2.84x | $181.21 | $1.0M | 14.4K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 65.2K | $4.3M | $66.27 | 1.32x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 9.9K | $1.2M | $124.29 | 1.37x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 22.3K | $843.5K | $37.79 | 1.32x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 3.5K | $728.7K | $207.37 | 2.29x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.7K | $256.7K | $93.75 | 1.66x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $229.1K | $180.40 | 1.96x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 4.5K | $177.5K | $39.25 | 1.38x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.4K | $149.0K | $62.82 | 1.37x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 167 | $19.3K | $115.64 | 1.43x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 105 | $16.4K | $156.10 | 1.31x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 166 | $15.1K | $90.99 | 2.27x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 276 | $13.0K | $46.96 | 1.94x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 118 | $9.5K | $80.79 | 1.33x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 91 | $7.3K | $80.60 | 1.55x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 89 | $6.0K | $66.86 | 1.34x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 78 | $5.5K | $70.33 | 1.84x |
| 32554 | Removal of fluid from chest cavity | 44 | $3.7K | $83.36 | 4.05x |
| 99292 | Critical care, each additional 30 minutes | 34 | $3.6K | $104.89 | 5.96x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 28 | $2.8K | $99.45 | 11.87x |
| 99283 | Emergency department visit, moderately severe problem | 26 | $1.4K | $54.64 | 1.62x |
This provider submits charges 1.46 times higher than what Medicare actually pays.
A markup ratio of 1.46x means for every $100 Medicare pays, this provider initially charges $146. 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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