This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Emergency Medicine providers nationally.
Medicare payments to this provider grew 755% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 172% in 2016
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 | $560.25 | $120.75 | 4.64x | $439.50 | $82.9K | 677 | 668 |
| 2015 | $538.20 | $122.36 | 4.40x | $415.84 | $88.8K | 690 | 673 |
| 2016 | $1.2K | $279.33 | 4.17x | $886.74 | $241.5K | 1.1K | 956 |
| 2017 | $1.5K | $316.94 | 4.66x | $1.2K | $350.1K | 1.5K | 1.1K |
| 2018 | $1.3K | $320.83 | 4.16x | $1.0K | $376.9K | 1.6K | 1.1K |
| 2019 | $1.4K | $336.61 | 4.28x | $1.1K | $385.7K | 1.5K | 1.0K |
| 2020 | $1.2K | $263.10 | 4.52x | $924.97 | $212.7K | 943 | 708 |
| 2021 | $1.7K | $430.93 | 4.02x | $1.3K | $353.5K | 1.3K | 867 |
| 2022 | $1.5K | $341.96 | 4.42x | $1.2K | $716.3K | 3.1K | 1.9K |
| 2023 | $1.4K | $296.82 | 4.59x | $1.1K | $709.3K | 3.3K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 576 | $708.6K | $1.2K | 2.68x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 498 | $577.3K | $1.2K | 4.43x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 2.9K | $470.2K | $164.45 | 3.93x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 2.4K | $362.0K | $151.21 | 7.40x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 278 | $270.3K | $972.26 | 4.27x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 132 | $202.2K | $1.5K | 2.94x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 692 | $139.9K | $202.15 | 6.98x |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 1.3K | $136.8K | $101.83 | 3.54x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 807 | $123.4K | $152.94 | 3.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 894 | $121.1K | $135.49 | 3.32x |
| 99284 | Emergency department visit, problem of high severity | 872 | $86.2K | $98.80 | 6.98x |
| 37799 | Blood vessel procedure | 212 | $52.0K | $245.06 | 6.12x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.0K | $51.4K | $49.82 | 12.24x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 770 | $43.2K | $56.08 | 6.42x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 636 | $40.4K | $63.57 | 2.99x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 898 | $38.3K | $42.69 | 2.81x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 19 | $23.3K | $1.2K | 3.51x |
| 36470 | Injection of chemical agent into single incompetent vein | 212 | $20.0K | $94.18 | 4.25x |
| 99283 | Emergency department visit, moderately severe problem | 333 | $16.9K | $50.76 | 6.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 115 | $11.1K | $96.75 | 3.00x |
This provider submits charges 4.41 times higher than what Medicare actually pays.
A markup ratio of 4.41x means for every $100 Medicare pays, this provider initially charges $441. 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.
Other Emergency Medicine providers in MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Don Coleman, MD | Middle River, MD | $50.8M | ✓ Clear |
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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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