This provider averages 65 services per working day
Based on 162.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Averaging 65 services per working day raises questions about billing patterns.
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 | $223.32 | $53.80 | 4.15x | $169.52 | $1.1M | 16.8K | 6.9K |
| 2015 | $219.81 | $53.69 | 4.09x | $166.12 | $980.3K | 16.5K | 7.1K |
| 2016 | $207.81 | $53.32 | 3.90x | $154.49 | $1.0M | 17.1K | 7.4K |
| 2017 | $218.70 | $54.06 | 4.05x | $164.64 | $1.1M | 16.4K | 7.4K |
| 2018 | $200.67 | $51.13 | 3.92x | $149.54 | $996.6K | 15.0K | 6.6K |
| 2019 | $237.82 | $52.49 | 4.53x | $185.33 | $1.0M | 14.9K | 6.2K |
| 2020 | $250.54 | $56.88 | 4.40x | $193.66 | $1.1M | 16.7K | 6.7K |
| 2021 | $174.69 | $49.20 | 3.55x | $125.49 | $1.0M | 16.1K | 7.5K |
| 2022 | $174.69 | $48.43 | 3.61x | $126.26 | $935.1K | 17.3K | 8.5K |
| 2023 | $175.27 | $48.55 | 3.61x | $126.72 | $896.9K | 15.9K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 37.3K | $3.0M | $80.43 | 2.78x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 6.4K | $1.5M | $228.95 | 3.64x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.3K | $894.5K | $79.08 | 3.15x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 4.6K | $795.4K | $171.73 | 3.66x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 13.8K | $771.5K | $56.04 | 2.81x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.0K | $601.2K | $150.46 | 3.07x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 2.9K | $556.4K | $191.55 | 3.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.4K | $430.6K | $97.77 | 2.82x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 2.3K | $413.4K | $183.66 | 3.75x |
| 90945 | Dialysis procedure including one evaluation | 2.3K | $153.4K | $65.76 | 3.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $126.6K | $73.89 | 3.26x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 843 | $120.6K | $143.09 | 3.62x |
| 90935 | Hemodialysis procedure with one physician evaluation | 1.7K | $97.4K | $55.91 | 3.74x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 1.2K | $89.9K | $77.33 | 2.94x |
| 80053 | Blood test, comprehensive group of blood chemicals | 7.9K | $81.2K | $10.30 | 3.67x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 7.2K | $65.3K | $9.04 | 3.73x |
| 83735 | Magnesium level | 6.7K | $52.5K | $7.83 | 3.37x |
| 99238 | Hospital discharge day management, 30 minutes or less | 686 | $38.1K | $55.49 | 2.55x |
| 83970 | Parathormone (parathyroid hormone) level | 922 | $37.2K | $40.32 | 4.19x |
| 82043 | Urine microalbumin (protein) level | 5.3K | $36.0K | $6.84 | 2.86x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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