This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Medicare payments to this provider grew 2087% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 162% 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 | $218.80 | $87.74 | 2.49x | $131.06 | $41.1K | 627 | 398 |
| 2015 | $173.40 | $72.47 | 2.39x | $100.93 | $41.1K | 659 | 386 |
| 2016 | $152.12 | $80.68 | 1.89x | $71.44 | $107.9K | 1.3K | 789 |
| 2017 | $182.27 | $88.10 | 2.07x | $94.17 | $240.3K | 3.4K | 2.0K |
| 2018 | $115.96 | $76.42 | 1.52x | $39.54 | $346.9K | 5.6K | 2.9K |
| 2019 | $125.83 | $78.45 | 1.60x | $47.38 | $479.8K | 7.5K | 3.3K |
| 2020 | $120.98 | $76.71 | 1.58x | $44.27 | $635.3K | 10.0K | 4.2K |
| 2021 | $124.15 | $88.49 | 1.40x | $35.66 | $851.3K | 13.2K | 4.8K |
| 2022 | $127.76 | $82.27 | 1.55x | $45.49 | $793.6K | 12.1K | 4.7K |
| 2023 | $138.62 | $83.24 | 1.67x | $55.38 | $899.0K | 13.9K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.2K | $1.2M | $105.33 | 1.60x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 15.9K | $710.6K | $44.71 | 1.69x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.5K | $487.4K | $65.20 | 1.50x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.7K | $459.0K | $123.02 | 1.49x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 7.0K | $380.9K | $54.55 | 1.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $248.3K | $148.26 | 1.63x |
| 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 | 4.3K | $204.8K | $47.16 | 1.65x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $140.7K | $98.11 | 1.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 779 | $139.4K | $178.98 | 1.46x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 1.5K | $82.8K | $55.79 | 1.86x |
| 95250 | Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours | 567 | $82.6K | $145.63 | 1.49x |
| 76536 | Ultrasound of head and neck | 482 | $51.4K | $106.54 | 1.79x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 684 | $50.5K | $73.79 | 1.51x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 241 | $38.7K | $160.78 | 1.54x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 386 | $34.5K | $89.34 | 1.55x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 854 | $27.4K | $32.14 | 1.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 298 | $21.1K | $70.81 | 1.74x |
| 36415 | Insertion of needle into vein for collection of blood sample | 4.1K | $16.2K | $3.94 | 3.38x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 927 | $14.9K | $16.06 | 1.64x |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 3.9K | $12.6K | $3.22 | 6.21x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. 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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