This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 227% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 142% in 2022
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 | $199.73 | $110.30 | 1.81x | $89.43 | $478.3K | 3.9K | 1.4K |
| 2015 | $185.45 | $107.21 | 1.73x | $78.24 | $415.8K | 3.4K | 1.4K |
| 2016 | $181.65 | $98.12 | 1.85x | $83.53 | $503.6K | 4.2K | 1.8K |
| 2017 | $154.36 | $88.92 | 1.74x | $65.44 | $440.9K | 3.9K | 1.9K |
| 2018 | $168.88 | $93.63 | 1.80x | $75.25 | $457.8K | 4.5K | 2.3K |
| 2019 | $147.22 | $85.59 | 1.72x | $61.63 | $382.6K | 5.4K | 1.9K |
| 2020 | $165.74 | $76.82 | 2.16x | $88.92 | $470.6K | 7.4K | 3.1K |
| 2021 | $242.35 | $89.27 | 2.71x | $153.08 | $755.7K | 10.0K | 3.5K |
| 2022 | $240.71 | $98.48 | 2.44x | $142.23 | $1.8M | 23.7K | 6.8K |
| 2023 | $221.21 | $86.40 | 2.56x | $134.81 | $1.6M | 25.8K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 9.2K | $2.3M | $247.96 | 2.22x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.5K | $1.5M | $89.96 | 1.95x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 18.6K | $842.7K | $45.28 | 2.21x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.7K | $626.6K | $58.37 | 2.80x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.8K | $244.6K | $88.06 | 3.34x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $235.0K | $156.48 | 2.42x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 4.8K | $191.9K | $39.93 | 1.58x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $170.6K | $109.74 | 2.12x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 793 | $166.1K | $209.52 | 2.42x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 3.8K | $148.6K | $38.66 | 1.46x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 579 | $140.8K | $243.21 | 1.46x |
| 90935 | Hemodialysis procedure with one physician evaluation | 2.2K | $130.8K | $58.22 | 3.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $125.6K | $124.14 | 2.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $90.2K | $57.04 | 1.89x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 507 | $78.9K | $155.53 | 2.44x |
| 90970 | Dialysis services, per day (less than full month service), patient 20 years of age or older | 8.8K | $64.7K | $7.34 | 3.41x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 1.9K | $59.6K | $31.59 | 1.45x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 679 | $34.3K | $50.54 | 2.97x |
| 90945 | Dialysis procedure including one evaluation | 482 | $33.2K | $68.92 | 2.63x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 304 | $21.7K | $71.25 | 1.76x |
This provider submits charges 2.23 times higher than what Medicare actually pays.
A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. 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