This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Urology 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 | $205.45 | $57.68 | 3.56x | $147.77 | $983.5K | 11.5K | 4.8K |
| 2015 | $330.08 | $85.44 | 3.86x | $244.64 | $963.5K | 9.9K | 4.6K |
| 2016 | $213.71 | $61.91 | 3.45x | $151.80 | $1.4M | 14.7K | 4.7K |
| 2017 | $211.20 | $60.98 | 3.46x | $150.22 | $1.1M | 12.9K | 4.4K |
| 2018 | $89.40 | $45.86 | 1.95x | $43.54 | $364.4K | 6.4K | 1.9K |
| 2019 | $85.86 | $42.27 | 2.03x | $43.59 | $380.2K | 6.1K | 1.4K |
| 2020 | $343.42 | $159.25 | 2.16x | $184.17 | $208.9K | 3.6K | 800 |
| 2021 | $320.01 | $204.27 | 1.57x | $115.74 | $243.1K | 3.8K | 584 |
| 2022 | $79.13 | $37.01 | 2.14x | $42.12 | $217.7K | 4.2K | 761 |
| 2023 | $136.08 | $65.74 | 2.07x | $70.34 | $236.8K | 4.7K | 854 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27370 | Injection procedure for X-ray imaging of knee | 13.5K | $2.2M | $162.26 | 3.59x |
| 77002 | Fluoroscopic guidance for insertion of needle | 21.1K | $1.6M | $77.59 | 2.46x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 11.9K | $781.7K | $65.94 | 3.72x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 10.0K | $623.3K | $62.20 | 2.18x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 2.7K | $339.8K | $123.64 | 2.69x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.1K | $136.0K | $118.45 | 3.38x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.0K | $89.9K | $30.40 | 2.86x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 6.4K | $59.4K | $9.31 | 2.17x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.1K | $53.8K | $48.30 | 3.11x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 62 | $48.0K | $774.96 | 1.72x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 455 | $42.0K | $92.34 | 2.98x |
| 73560 | X-ray of knee, 1 or 2 views | 1.1K | $25.7K | $23.73 | 2.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 456 | $23.5K | $51.44 | 2.11x |
| 20926 | Tissue graft | 44 | $12.2K | $277.47 | 3.24x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 137 | $10.2K | $74.80 | 2.61x |
| 73564 | X-ray of knee, 4 or more views | 209 | $6.3K | $29.91 | 2.11x |
| P9020 | Platelet rich plasma, each unit | 44 | $4.7K | $106.57 | 8.45x |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 381 | $3.7K | $9.66 | 3.14x |
| J1955 | Injection, levocarnitine, per 1 gm | 127 | $2.5K | $19.61 | 1.27x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 44 | $1.5K | $34.08 | 7.27x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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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