This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 521% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 104% in 2015
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 | $111.68 | $75.53 | 1.48x | $36.15 | $160.9K | 2.1K | 635 |
| 2015 | $110.64 | $70.00 | 1.58x | $40.64 | $327.6K | 4.1K | 1.2K |
| 2016 | $99.84 | $59.92 | 1.67x | $39.92 | $352.0K | 5.0K | 1.4K |
| 2017 | $154.30 | $68.26 | 2.26x | $86.04 | $444.5K | 6.3K | 1.7K |
| 2018 | $134.67 | $77.47 | 1.74x | $57.20 | $718.0K | 9.1K | 2.1K |
| 2019 | $140.49 | $86.98 | 1.62x | $53.51 | $898.6K | 11.0K | 2.7K |
| 2020 | $137.84 | $89.60 | 1.54x | $48.24 | $964.6K | 11.6K | 2.9K |
| 2021 | $143.75 | $101.59 | 1.42x | $42.16 | $1.0M | 11.5K | 2.8K |
| 2022 | $370.12 | $162.98 | 2.27x | $207.14 | $1.2M | 11.4K | 3.8K |
| 2023 | $180.27 | $78.30 | 2.30x | $101.97 | $998.7K | 12.4K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 43.3K | $2.9M | $66.55 | 1.53x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.1K | $1.0M | $110.15 | 1.46x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 5.4K | $991.7K | $183.34 | 1.43x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 6.7K | $579.5K | $86.31 | 1.36x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 1.4K | $414.0K | $295.07 | 1.61x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 980 | $254.6K | $259.78 | 1.62x |
| Q0222 | Injection, bebtelovimab, 175 mg | 59 | $138.4K | $2.3K | 2.13x |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 2.5K | $100.2K | $40.47 | 2.91x |
| M0223 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | 140 | $93.9K | $670.99 | 3.73x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 616 | $93.3K | $151.46 | 1.59x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 695 | $86.3K | $124.21 | 1.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.0K | $75.8K | $73.72 | 1.44x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 811 | $66.1K | $81.48 | 1.66x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 226 | $52.0K | $230.11 | 1.78x |
| G0008 | Administration of influenza virus vaccine | 613 | $16.9K | $27.58 | 1.52x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 306 | $15.4K | $50.29 | 1.99x |
| 99238 | Hospital discharge day management, 30 minutes or less | 199 | $12.8K | $64.10 | 1.56x |
| 36415 | Insertion of needle into vein for collection of blood sample | 3.1K | $12.7K | $4.04 | 1.85x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 880 | $12.5K | $14.17 | 2.77x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 251 | $12.2K | $48.65 | 1.54x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. This is lower 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.
Other Nephrology providers in NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Armistead Williams, M.D. | New York, NY | $37.6M | ✓ Clear |
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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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