This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Osteopathic Manipulative Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 227% in 2023
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 | $165.14 | $67.03 | 2.46x | $98.11 | $494.6K | 6.5K | 2.7K |
| 2015 | $172.37 | $69.53 | 2.48x | $102.84 | $596.6K | 7.8K | 3.2K |
| 2016 | $171.03 | $64.55 | 2.65x | $106.48 | $514.2K | 8.3K | 3.3K |
| 2017 | $167.09 | $67.38 | 2.48x | $99.71 | $469.0K | 7.3K | 3.1K |
| 2018 | $136.81 | $72.97 | 1.87x | $63.84 | $495.4K | 7.3K | 2.9K |
| 2019 | $146.31 | $77.49 | 1.89x | $68.82 | $539.8K | 9.0K | 3.6K |
| 2020 | $143.96 | $77.67 | 1.85x | $66.29 | $580.5K | 9.1K | 4.0K |
| 2021 | $138.77 | $74.90 | 1.85x | $63.87 | $592.5K | 8.9K | 3.9K |
| 2022 | $173.89 | $88.06 | 1.97x | $85.83 | $121.7K | 1.7K | 778 |
| 2023 | $182.30 | $97.83 | 1.86x | $84.47 | $398.4K | 4.9K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.2K | $1.0M | $86.24 | 2.41x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.8K | $544.6K | $113.18 | 2.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.4K | $402.7K | $62.61 | 2.34x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.4K | $242.7K | $174.21 | 3.03x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $221.8K | $164.89 | 2.24x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.5K | $186.9K | $121.97 | 1.84x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 748 | $173.3K | $231.69 | 1.49x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 803 | $162.1K | $201.84 | 1.74x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 903 | $143.8K | $159.28 | 1.73x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.4K | $140.5K | $58.15 | 2.21x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.0K | $135.3K | $44.37 | 2.49x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.4K | $112.8K | $81.29 | 1.23x |
| 76700 | Ultrasound of abdomen | 1.1K | $111.7K | $102.72 | 2.13x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.0K | $111.0K | $37.48 | 2.88x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 1.5K | $94.3K | $64.03 | 4.74x |
| G0396 | Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 2.8K | $78.8K | $28.52 | 2.15x |
| 76770 | Ultrasound behind abdominal cavity | 836 | $78.4K | $93.79 | 1.60x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 475 | $76.0K | $159.95 | 2.13x |
| 93922 | Ultrasound study of arteries of both arms and legs | 940 | $67.9K | $72.28 | 1.72x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 423 | $59.5K | $140.77 | 2.18x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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