This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology 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 | $464.29 | $135.41 | 3.43x | $328.88 | $305.4K | 5.8K | 4.1K |
| 2015 | $382.47 | $106.33 | 3.60x | $276.14 | $241.7K | 4.9K | 3.4K |
| 2016 | $427.54 | $120.03 | 3.56x | $307.51 | $312.9K | 6.1K | 4.3K |
| 2017 | $509.45 | $138.70 | 3.67x | $370.75 | $327.4K | 6.3K | 4.3K |
| 2018 | $521.19 | $140.68 | 3.70x | $380.51 | $369.3K | 7.2K | 5.0K |
| 2019 | $523.19 | $138.89 | 3.77x | $384.30 | $406.2K | 7.7K | 5.3K |
| 2020 | $495.00 | $133.72 | 3.70x | $361.28 | $404.0K | 7.2K | 5.1K |
| 2021 | $480.13 | $136.38 | 3.52x | $343.75 | $402.0K | 6.7K | 5.0K |
| 2022 | $506.24 | $145.46 | 3.48x | $360.78 | $447.6K | 7.1K | 5.6K |
| 2023 | $480.10 | $137.23 | 3.50x | $342.87 | $386.4K | 5.1K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.8K | $883.2K | $81.60 | 2.48x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 2.0K | $306.3K | $154.91 | 2.28x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 487 | $274.1K | $562.89 | 2.61x |
| 57265 | Repair of herniated rectum and bladder into vaginal wall | 385 | $253.9K | $659.38 | 3.05x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $196.2K | $145.41 | 2.68x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $117.5K | $113.62 | 2.75x |
| 57250 | Repair of herniated rectum into vaginal wall | 357 | $106.8K | $299.09 | 4.42x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 364 | $98.4K | $270.36 | 2.47x |
| 57425 | Vaginal defect repair using an endoscope | 374 | $96.7K | $258.43 | 6.62x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 267 | $91.2K | $341.62 | 4.11x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 7.4K | $84.4K | $11.39 | 3.46x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 658 | $70.9K | $107.78 | 2.52x |
| 87801 | Detection test for multiple organisms | 931 | $66.5K | $71.40 | 2.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $65.4K | $54.38 | 2.51x |
| 58542 | Partial removal of uterus (250 grams or less), tubes and/or ovaries with retention of cervix using an endoscope, | 136 | $60.9K | $448.00 | 3.77x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 641 | $59.4K | $92.74 | 2.80x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 127 | $57.1K | $449.25 | 6.74x |
| 57282 | Vaginal repair of pelvic ligaments | 241 | $53.8K | $223.16 | 4.43x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 94 | $48.5K | $515.62 | 2.65x |
| 87086 | Bacterial colony count, urine | 4.6K | $42.1K | $9.20 | 2.72x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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