This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Osteopathic Manipulative 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 | $111.65 | $65.07 | 1.72x | $46.58 | $388.5K | 7.1K | 3.4K |
| 2015 | $139.60 | $76.53 | 1.82x | $63.07 | $506.0K | 8.8K | 4.1K |
| 2016 | $154.32 | $80.62 | 1.91x | $73.70 | $412.0K | 7.3K | 2.5K |
| 2017 | $141.31 | $76.73 | 1.84x | $64.58 | $433.1K | 7.5K | 2.6K |
| 2018 | $151.55 | $78.15 | 1.94x | $73.40 | $442.8K | 7.6K | 2.6K |
| 2019 | $147.12 | $73.17 | 2.01x | $73.95 | $440.2K | 7.8K | 3.0K |
| 2020 | $142.63 | $69.75 | 2.04x | $72.88 | $394.6K | 6.8K | 3.1K |
| 2021 | $166.01 | $78.13 | 2.12x | $87.88 | $430.3K | 6.5K | 3.1K |
| 2022 | $154.53 | $86.53 | 1.79x | $68.00 | $454.8K | 6.8K | 3.4K |
| 2023 | $165.01 | $87.59 | 1.88x | $77.42 | $436.6K | 7.7K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 98928 | Osteopathic manipulative treatment to 7-8 body regions | 10.0K | $634.5K | $63.58 | 1.44x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 12.1K | $488.6K | $40.46 | 2.42x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.1K | $283.9K | $69.65 | 1.86x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.2K | $270.0K | $64.89 | 2.46x |
| 98927 | Osteopathic manipulative treatment to 5-6 body regions | 5.0K | $260.2K | $52.56 | 2.15x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 1.6K | $196.4K | $124.49 | 1.79x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.1K | $181.0K | $58.58 | 2.84x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 882 | $181.0K | $205.21 | 2.13x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 877 | $177.2K | $202.02 | 1.63x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 1.4K | $175.2K | $128.61 | 3.62x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $167.9K | $147.81 | 1.55x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 779 | $144.6K | $185.67 | 1.52x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 861 | $140.0K | $162.56 | 1.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 559 | $109.1K | $195.09 | 1.98x |
| 76700 | Ultrasound of abdomen | 804 | $91.1K | $113.36 | 1.52x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 608 | $89.4K | $147.01 | 1.39x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 433 | $79.6K | $183.76 | 2.16x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 334 | $77.1K | $230.84 | 1.34x |
| 76536 | Ultrasound of head and neck | 627 | $68.0K | $108.41 | 2.08x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 871 | $62.4K | $71.60 | 1.40x |
This provider submits charges 2.02 times higher than what Medicare actually pays.
A markup ratio of 2.02x means for every $100 Medicare pays, this provider initially charges $202. 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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