This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 264% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 167% 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 | $416.00 | $109.60 | 3.80x | $306.40 | $217.5K | 3.5K | 1.2K |
| 2015 | $260.77 | $68.21 | 3.82x | $192.56 | $203.8K | 3.5K | 1.1K |
| 2016 | $249.66 | $68.01 | 3.67x | $181.65 | $178.2K | 3.3K | 1.0K |
| 2017 | $213.83 | $59.20 | 3.61x | $154.63 | $217.3K | 4.3K | 1.3K |
| 2018 | $315.66 | $65.29 | 4.83x | $250.37 | $122.3K | 2.5K | 957 |
| 2019 | $338.75 | $73.85 | 4.59x | $264.90 | $213.8K | 4.0K | 990 |
| 2020 | $314.24 | $73.38 | 4.28x | $240.86 | $173.2K | 3.3K | 958 |
| 2021 | $354.60 | $104.67 | 3.39x | $249.93 | $375.9K | 4.4K | 1.1K |
| 2022 | $345.18 | $109.80 | 3.14x | $235.38 | $1.0M | 9.8K | 1.7K |
| 2023 | $297.56 | $100.95 | 2.95x | $196.61 | $791.7K | 6.7K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 97610 | Low frequency, non-contact, non-thermal ultrasound wound assessment, and instructions for ongoing care, per day | 2.0K | $645.1K | $316.86 | 2.75x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 6.6K | $546.8K | $82.42 | 4.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.9K | $522.9K | $40.67 | 3.94x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 4.5K | $319.8K | $70.45 | 3.04x |
| 97597 | Removal of tissue from wounds per session | 4.5K | $269.0K | $59.55 | 3.47x |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 1.8K | $220.1K | $123.24 | 4.06x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 4.0K | $191.7K | $48.14 | 5.05x |
| 29445 | Application of rigid total contact leg cast | 2.3K | $187.4K | $80.32 | 3.85x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $178.1K | $133.20 | 3.07x |
| 0512T | High energy shock wave therapy for initial wound of outer body surface | 499 | $115.4K | $231.19 | 2.99x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.0K | $88.3K | $86.66 | 3.20x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 554 | $40.5K | $73.17 | 4.34x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 166 | $32.7K | $197.26 | 3.78x |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | 845 | $30.0K | $35.50 | 2.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 215 | $15.3K | $71.33 | 3.33x |
| 15110 | Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children) | 23 | $12.6K | $548.39 | 4.56x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 85 | $12.4K | $146.28 | 3.10x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 150 | $10.9K | $72.59 | 4.38x |
| Q4037 | Cast supplies, short leg cast, adult (11 years +), plaster | 709 | $10.0K | $14.13 | 3.64x |
| Q4169 | Artacent wound, per square centimeter | 28 | $9.2K | $330.10 | 3.04x |
This provider submits charges 3.58 times higher than what Medicare actually pays.
A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. 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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