⚠️ This provider averages 394 services per working day — physically unusual for an individual practitioner
Based on 984.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $37.6M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Averaging 394 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 472% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2019
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 | $303.27 | $216.48 | 1.40x | $86.79 | $1.2M | 5.4K | 14 |
| 2015 | $54.51 | $37.68 | 1.45x | $16.83 | $1.2M | 31.3K | 14 |
| 2016 | $52.13 | $37.13 | 1.40x | $15.00 | $1.9M | 51.2K | 16 |
| 2017 | $60.54 | $40.65 | 1.49x | $19.89 | $2.1M | 50.5K | 16 |
| 2018 | $55.52 | $39.69 | 1.40x | $15.83 | $2.5M | 62.5K | 17 |
| 2019 | $48.61 | $35.49 | 1.37x | $13.12 | $4.0M | 113.4K | 18 |
| 2020 | $47.65 | $36.35 | 1.31x | $11.30 | $5.2M | 141.8K | 23 |
| 2021 | $47.03 | $36.14 | 1.30x | $10.89 | $6.3M | 173.6K | 21 |
| 2022 | $52.01 | $37.67 | 1.38x | $14.34 | $6.6M | 176.3K | 16 |
| 2023 | $53.03 | $37.65 | 1.41x | $15.38 | $6.7M | 178.7K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 393.9K | $18.1M | $45.99 | 1.32x |
| J2323 | Injection, natalizumab, 1 mg | 401.4K | $6.5M | $16.31 | 1.42x |
| J9310 | Injection, rituximab, 100 mg | 7.6K | $4.6M | $608.78 | 1.40x |
| J9312 | Injection, rituximab, 10 mg | 42.6K | $3.0M | $70.15 | 1.44x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 47.4K | $1.7M | $36.36 | 1.27x |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | 33.2K | $875.4K | $26.38 | 1.28x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 19.9K | $612.7K | $30.80 | 1.27x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.0K | $362.8K | $119.34 | 1.69x |
| J0475 | Injection, baclofen, 10 mg | 2.6K | $342.1K | $133.26 | 1.58x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.7K | $340.2K | $127.43 | 1.44x |
| 62270 | Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | 1.7K | $220.6K | $128.05 | 1.80x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 7.3K | $191.2K | $26.05 | 2.45x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 2.3K | $140.3K | $61.58 | 1.52x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 1.4K | $136.6K | $96.30 | 1.85x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 4.9K | $89.4K | $18.13 | 1.37x |
| P9045 | Infusion, albumin (human), 5%, 250 ml | 1.6K | $67.5K | $42.77 | 1.51x |
| 96374 | Injection of drug or substance into vein | 1.8K | $65.8K | $36.67 | 1.43x |
| 36514 | Mechanical separation of plasma from opening blood | 125 | $58.1K | $464.99 | 1.53x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 2.8K | $46.8K | $16.59 | 1.94x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 596 | $26.5K | $44.43 | 1.65x |
This provider submits charges 1.37 times higher than what Medicare actually pays.
A markup ratio of 1.37x means for every $100 Medicare pays, this provider initially charges $137. 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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