This provider's $3.2M in total Medicare payments ranks in the 99th percentile of Critical Care (Intensivists) providers nationally.
Medicare payments to this provider grew 451% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 277% in 2019
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 | $345.71 | $96.47 | 3.58x | $249.24 | $110.9K | 885 | 523 |
| 2015 | $282.83 | $108.93 | 2.60x | $173.90 | $127.6K | 1.2K | 661 |
| 2016 | $351.98 | $106.77 | 3.30x | $245.21 | $75.4K | 726 | 393 |
| 2017 | $436.27 | $116.92 | 3.73x | $319.35 | $96.3K | 1.1K | 388 |
| 2018 | $313.57 | $106.76 | 2.94x | $206.81 | $151.2K | 1.7K | 475 |
| 2019 | $250.09 | $104.10 | 2.40x | $145.99 | $569.7K | 6.6K | 925 |
| 2020 | $229.36 | $90.83 | 2.53x | $138.53 | $552.0K | 5.9K | 1.0K |
| 2021 | $287.52 | $90.25 | 3.19x | $197.27 | $379.7K | 4.2K | 1.1K |
| 2022 | $294.15 | $73.79 | 3.99x | $220.36 | $551.5K | 6.6K | 1.5K |
| 2023 | $279.07 | $76.20 | 3.66x | $202.87 | $611.4K | 7.5K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 24.3K | $1.5M | $62.09 | 2.60x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 5.5K | $1.0M | $183.64 | 2.93x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.1K | $340.2K | $162.18 | 2.72x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $185.7K | $88.52 | 2.84x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 932 | $87.9K | $94.29 | 1.97x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 179 | $23.8K | $133.19 | 1.95x |
| 99308 | Follow-up nursing facility visit per day, typically 15 minutes | 300 | $18.2K | $60.79 | 2.88x |
| 99292 | Critical care delivery critically ill or injured patient | 190 | $17.5K | $92.15 | 2.71x |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 39 | $4.4K | $112.57 | 8.88x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 49 | $4.1K | $83.27 | 3.33x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 39 | $3.9K | $99.87 | 4.27x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 30 | $3.3K | $111.38 | 2.75x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 101 | $3.3K | $33.05 | 2.72x |
| 94729 | Measurement of lung diffusing capacity | 155 | $3.3K | $21.24 | 7.06x |
| 94617 | Exercise test for spasm of lung airways with ekg | 51 | $3.0K | $59.01 | 2.58x |
| 94727 | Determination of lung volumes using gas dilution or washout | 155 | $2.9K | $18.39 | 8.15x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 107 | $2.8K | $26.53 | 5.65x |
| 36800 | Insertion of tube connecting vein to vein for hemodialysis | 17 | $1.7K | $97.58 | 6.66x |
| 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 13 | $1.6K | $119.33 | 2.10x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 24 | $1.5K | $60.87 | 2.31x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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