This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Medicare payments to this provider grew 87% 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 | $197.58 | $60.08 | 3.29x | $137.50 | $431.9K | 7.1K | 3.4K |
| 2015 | $200.24 | $60.43 | 3.31x | $139.81 | $423.0K | 6.8K | 3.5K |
| 2016 | $209.79 | $68.21 | 3.08x | $141.58 | $502.2K | 7.5K | 4.2K |
| 2017 | $238.31 | $77.09 | 3.09x | $161.22 | $477.2K | 7.9K | 4.0K |
| 2018 | $235.51 | $75.88 | 3.10x | $159.63 | $558.8K | 9.2K | 4.4K |
| 2019 | $240.14 | $76.48 | 3.14x | $163.66 | $618.6K | 10.0K | 4.8K |
| 2020 | $229.64 | $74.40 | 3.09x | $155.24 | $700.9K | 10.6K | 4.9K |
| 2021 | $270.45 | $86.56 | 3.12x | $183.89 | $769.8K | 11.1K | 5.0K |
| 2022 | $235.23 | $79.77 | 2.95x | $155.46 | $801.8K | 12.0K | 5.2K |
| 2023 | $286.84 | $82.77 | 3.47x | $204.07 | $809.2K | 11.6K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.4K | $1.9M | $97.89 | 2.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 18.3K | $1.1M | $62.55 | 4.00x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 10.9K | $984.5K | $90.58 | 3.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.8K | $478.4K | $170.38 | 2.90x |
| 76536 | Ultrasound of head and neck | 2.9K | $305.0K | $106.43 | 2.43x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.1K | $279.5K | $132.77 | 2.78x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.5K | $256.2K | $175.21 | 2.83x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.9K | $225.6K | $116.28 | 3.45x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 769 | $109.0K | $141.75 | 3.28x |
| 83037 | Hemoglobin A1C level | 9.6K | $105.1K | $10.98 | 2.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 691 | $48.7K | $70.47 | 2.87x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 1.5K | $44.9K | $30.54 | 5.73x |
| 95250 | Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours | 220 | $31.5K | $143.16 | 1.75x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 719 | $28.6K | $39.71 | 3.84x |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 8.6K | $27.5K | $3.21 | 7.79x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.7K | $27.3K | $16.05 | 3.10x |
| 36415 | Insertion of needle into vein for collection of blood sample | 6.7K | $24.2K | $3.62 | 8.09x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 279 | $23.8K | $85.18 | 4.41x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 135 | $16.4K | $121.83 | 4.31x |
| 82947 | Blood glucose (sugar) level | 2.0K | $10.6K | $5.24 | 2.46x |
This provider submits charges 3.17 times higher than what Medicare actually pays.
A markup ratio of 3.17x means for every $100 Medicare pays, this provider initially charges $317. 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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