This provider's $5.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 1405% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1083% in 2021
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 | $149.54 | $68.69 | 2.18x | $80.85 | $75.6K | 1.2K | 671 |
| 2015 | $146.30 | $77.57 | 1.89x | $68.73 | $94.2K | 1.1K | 707 |
| 2016 | $123.67 | $72.46 | 1.71x | $51.21 | $119.0K | 1.7K | 818 |
| 2017 | $107.43 | $62.72 | 1.71x | $44.71 | $169.2K | 2.5K | 1.0K |
| 2018 | $139.23 | $83.03 | 1.68x | $56.20 | $166.0K | 2.3K | 910 |
| 2019 | $143.33 | $83.37 | 1.72x | $59.96 | $110.8K | 1.5K | 603 |
| 2020 | $102.14 | $66.34 | 1.54x | $35.80 | $90.4K | 1.5K | 621 |
| 2021 | $264.64 | $98.56 | 2.69x | $166.08 | $1.1M | 14.0K | 7.4K |
| 2022 | $346.17 | $99.31 | 3.49x | $246.86 | $2.6M | 47.9K | 20.2K |
| 2023 | $152.19 | $57.75 | 2.64x | $94.44 | $1.1M | 22.0K | 8.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99490 | Chronic care management services at least 20 minutes per calendar month | 23.9K | $1.2M | $51.72 | 2.99x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 14.5K | $583.0K | $40.25 | 2.18x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 3.3K | $411.0K | $125.89 | 2.47x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 8.7K | $363.8K | $41.81 | 3.59x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 5.2K | $282.9K | $54.12 | 5.25x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 5.7K | $265.5K | $46.75 | 7.25x |
| 99349 | Established patient home visit, typically 40 minutes | 2.3K | $257.5K | $109.94 | 1.56x |
| 99491 | Chronic care management services by qualified health care professional, 30 minutes or more per calendar month | 3.4K | $241.5K | $71.50 | 2.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $180.1K | $101.78 | 2.46x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 2.2K | $173.9K | $80.22 | 1.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $157.5K | $75.41 | 2.05x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 519 | $140.1K | $269.95 | 1.64x |
| 99437 | Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month | 2.4K | $121.4K | $49.61 | 2.93x |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 1.3K | $91.6K | $69.08 | 1.74x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 1.3K | $79.5K | $62.66 | 2.10x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 805 | $72.3K | $89.76 | 3.49x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.2K | $68.7K | $58.25 | 1.72x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 1.7K | $63.4K | $38.23 | 4.31x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 320 | $63.0K | $196.86 | 1.93x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 531 | $55.2K | $103.88 | 6.43x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data