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Methodology•Download Data
  1. Home
  2. Providers
  3. Vadim Baram
🧠
MDIndividual

Vadim Baram, MD

NPI: 1124007380
Saint Louis, MO
10 years of data
Psychiatry
$3.5M
Total Payments
17.4K
Beneficiaries
56.6K
Services
2.19x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$3.5M
Specialty median$36.7K

📋 Key Findings

1Billed $3.5M over 10 years
22.19x markup ratio (above median)
399th percentile in Psychiatry by payments
45 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Psychiatry providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$153.72$76.432.01x$77.29$493.9K7.9K2.5K
2015$167.88$74.212.26x$93.67$509.5K8.3K2.6K
2016$167.31$75.872.21x$91.44$523.7K8.5K2.5K
2017$196.60$75.462.61x$121.14$567.7K9.3K2.2K
2018$198.10$70.712.80x$127.39$402.2K6.6K2.2K
2019$187.23$68.872.72x$118.36$249.0K4.1K1.4K
2020$134.65$72.891.85x$61.76$233.4K3.8K1.3K
2021$140.65$72.451.94x$68.20$245.8K3.7K1.4K
2022$152.46$74.792.04x$77.67$162.7K2.7K865
2023$124.84$64.421.94x$60.42$112.0K1.7K558

Top Procedures (20)

99232Subsequent hospital inpatient care, typically 25 minutes per day
$1.5M
27.0K services$54.92/svc1.96x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$452.8K
9.1K services$49.61/svc2.56x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$276.7K
2.7K services$101.32/svc2.02x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$210.3K
1.4K services$149.33/svc1.94x markup
99238Hospital discharge day management, 30 minutes or less
$209.2K
3.8K services$55.40/svc2.22x markup
90870Shock treatment and monitoring
$180.6K
2.1K services$84.12/svc2.18x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$153.0K
2.0K services$76.31/svc2.04x markup
99221Initial hospital inpatient care, typically 30 minutes per day
$139.7K
1.8K services$75.90/svc1.94x markup
99335Established patient assisted living visit, typically 25 minutes
$96.3K
1.4K services$69.29/svc2.17x markup
90868Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session⚠ 3.8x markup
$89.2K
844 services$105.74/svc3.79x markup
99283Emergency department visit, moderately severe problem⚠ 4.2x markup
$79.2K
1.7K services$45.46/svc4.18x markup
99231Subsequent hospital inpatient care, typically 15 minutes per day⚠ 3.1x markup
$34.9K
1.1K services$30.50/svc3.13x markup
90792Psychiatric diagnostic evaluation with medical services
$32.9K
336 services$97.96/svc2.41x markup
99308Subsequent nursing facility visit, typically 15 minutes per day
$21.5K
425 services$50.66/svc1.97x markup
99305Initial nursing facility visit, typically 35 minutes per day
$17.2K
171 services$100.71/svc1.57x markup
90833Psychotherapy, 30 minutes with patient and/or family member
$13.8K
317 services$43.61/svc1.91x markup
99334Established patient assisted living visit, typically 15 minutes
$3.4K
77 services$43.75/svc1.80x markup
99325New patient assisted living visit, typically 30 minutes⚠ 3.6x markup
$3.0K
61 services$49.38/svc3.58x markup
90867Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression)⚠ 3.7x markup
$2.6K
19 services$134.81/svc3.69x markup
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
$1.6K
34 services$46.15/svc2.71x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99232Subsequent hospital inpatient care, typically 25 minutes per day27.0K$1.5M$54.921.96x
99213Established patient office or other outpatient visit, typically 15 minutes9.1K$452.8K$49.612.56x
99222Initial hospital inpatient care, typically 50 minutes per day2.7K$276.7K$101.322.02x
99223Initial hospital inpatient care, typically 70 minutes per day1.4K$210.3K$149.331.94x
99238Hospital discharge day management, 30 minutes or less3.8K$209.2K$55.402.22x
90870Shock treatment and monitoring2.1K$180.6K$84.122.18x
99214Established patient office or other outpatient, visit typically 25 minutes2.0K$153.0K$76.312.04x
99221Initial hospital inpatient care, typically 30 minutes per day1.8K$139.7K$75.901.94x
99335Established patient assisted living visit, typically 25 minutes1.4K$96.3K$69.292.17x
90868Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression), per session844$89.2K$105.743.79x
99283Emergency department visit, moderately severe problem1.7K$79.2K$45.464.18x
99231Subsequent hospital inpatient care, typically 15 minutes per day1.1K$34.9K$30.503.13x
90792Psychiatric diagnostic evaluation with medical services336$32.9K$97.962.41x
99308Subsequent nursing facility visit, typically 15 minutes per day425$21.5K$50.661.97x
99305Initial nursing facility visit, typically 35 minutes per day171$17.2K$100.711.57x
90833Psychotherapy, 30 minutes with patient and/or family member317$13.8K$43.611.91x
99334Established patient assisted living visit, typically 15 minutes77$3.4K$43.751.80x
99325New patient assisted living visit, typically 30 minutes61$3.0K$49.383.58x
90867Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression)19$2.6K$134.813.69x
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes34$1.6K$46.152.71x

Markup Analysis

Charge-to-Payment Ratio

2.19x

This provider submits charges 2.19 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.19x means for every $100 Medicare pays, this provider initially charges $219. This is higher than the national average.

Location

Saint Louis, MO

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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