This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Emergency Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $988.19 | $271.17 | 3.64x | $717.02 | $818.8K | 1.8K | 1.4K |
| 2015 | $1.0K | $265.85 | 3.84x | $755.00 | $952.1K | 2.3K | 1.7K |
| 2016 | $995.68 | $255.44 | 3.90x | $740.24 | $865.1K | 2.8K | 1.8K |
| 2017 | $1.4K | $344.72 | 4.16x | $1.1K | $967.0K | 3.2K | 2.0K |
| 2018 | $1.8K | $554.23 | 3.20x | $1.2K | $950.8K | 2.9K | 2.0K |
| 2019 | $1.6K | $480.52 | 3.29x | $1.1K | $923.9K | 2.8K | 1.9K |
| 2020 | $1.4K | $404.88 | 3.48x | $1.0K | $875.2K | 2.7K | 1.8K |
| 2021 | $1.5K | $465.01 | 3.32x | $1.1K | $1.2M | 2.8K | 1.9K |
| 2022 | $1.4K | $352.45 | 3.94x | $1.0K | $1.1M | 4.3K | 2.8K |
| 2023 | $1.4K | $341.73 | 4.14x | $1.1K | $882.3K | 4.2K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.7K | $2.3M | $1.3K | 3.85x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 1.3K | $1.5M | $1.1K | 3.73x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 825 | $1.2M | $1.4K | 2.29x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 518 | $980.4K | $1.9K | 2.38x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 4.3K | $736.8K | $170.47 | 3.74x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.2K | $451.1K | $143.11 | 3.14x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.8K | $306.8K | $172.34 | 3.25x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 214 | $297.9K | $1.4K | 3.09x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.3K | $265.0K | $112.80 | 3.19x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $257.5K | $69.26 | 2.74x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 134 | $212.6K | $1.6K | 2.21x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 3.5K | $190.2K | $53.58 | 11.38x |
| 37799 | Blood vessel procedure | 516 | $178.4K | $345.66 | 4.34x |
| 37765 | Multiple incisions for removal of varicose veins of arm or leg | 414 | $131.3K | $317.12 | 4.35x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 671 | $101.4K | $151.13 | 7.47x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 323 | $65.5K | $202.87 | 7.12x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 954 | $62.2K | $65.22 | 5.52x |
| 36470 | Injection of chemical agent into single incompetent vein | 602 | $60.7K | $100.83 | 3.97x |
| 99284 | Emergency department visit, problem of high severity | 451 | $45.0K | $99.89 | 7.08x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.1K | $42.0K | $39.78 | 3.02x |
This provider submits charges 3.56 times higher than what Medicare actually pays.
A markup ratio of 3.56x means for every $100 Medicare pays, this provider initially charges $356. 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.
Other Emergency Medicine providers in MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Don Coleman, MD | Middle River, MD | $50.8M | ✓ 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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