This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.
Medicare payments to this provider grew 54% from 2014 to 2023.
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 | $296.57 | $128.35 | 2.31x | $168.22 | $262.3K | 3.5K | 1.9K |
| 2015 | $268.38 | $122.66 | 2.19x | $145.72 | $251.4K | 3.4K | 1.6K |
| 2016 | $287.42 | $121.07 | 2.37x | $166.35 | $280.3K | 3.7K | 1.8K |
| 2017 | $294.65 | $140.27 | 2.10x | $154.38 | $358.1K | 4.3K | 2.0K |
| 2018 | $287.44 | $118.41 | 2.43x | $169.03 | $404.0K | 5.7K | 2.8K |
| 2019 | $296.63 | $122.49 | 2.42x | $174.14 | $367.9K | 5.0K | 2.6K |
| 2020 | $305.50 | $129.38 | 2.36x | $176.12 | $360.3K | 4.7K | 2.5K |
| 2021 | $312.52 | $140.04 | 2.23x | $172.48 | $377.0K | 5.0K | 2.3K |
| 2022 | $392.42 | $164.15 | 2.39x | $228.27 | $387.2K | 5.2K | 2.4K |
| 2023 | $354.03 | $152.72 | 2.32x | $201.31 | $403.4K | 5.1K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.9K | $494.1K | $83.64 | 2.03x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 4.4K | $456.1K | $103.74 | 2.06x |
| 51700 | Bladder irrigation and/or instillation | 6.9K | $422.5K | $61.36 | 3.19x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.3K | $341.6K | $63.94 | 1.97x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 693 | $204.4K | $294.91 | 1.80x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $169.4K | $122.17 | 2.08x |
| 91122 | Study of anorectal pressure generated by muscles surrounding anus (sphincter) | 825 | $160.0K | $193.96 | 1.86x |
| 57265 | Repair of herniated rectum and bladder into vaginal wall | 206 | $141.9K | $689.03 | 2.01x |
| 52265 | Dilation of the bladder including local anesthetic using an endoscope | 391 | $122.5K | $313.18 | 1.88x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 346 | $104.5K | $301.99 | 1.88x |
| 57150 | Irrigation of vagina and/or application of drug to treat infection | 2.0K | $74.7K | $37.58 | 2.04x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 465 | $72.5K | $155.93 | 2.04x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 797 | $69.6K | $87.33 | 3.66x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 181 | $67.0K | $370.33 | 2.99x |
| 51701 | Insertion of temporary bladder catheter | 1.7K | $64.0K | $38.64 | 2.53x |
| 57160 | Fitting and insertion of vaginal support device | 888 | $52.7K | $59.40 | 2.20x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.0K | $43.3K | $42.11 | 2.14x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 340 | $42.7K | $125.73 | 1.78x |
| 52260 | Dilation of the bladder using an endoscope under general or spinal anesthesia | 432 | $42.6K | $98.55 | 3.32x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 333 | $38.4K | $115.35 | 2.05x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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