This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 501% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 156% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $236.87 | $102.78 | 2.30x | $134.09 | $245.2K | 2.5K | 1.6K |
| 2015 | $233.33 | $101.57 | 2.30x | $131.76 | $223.9K | 2.4K | 1.5K |
| 2016 | $235.00 | $96.87 | 2.43x | $138.13 | $212.5K | 2.2K | 1.4K |
| 2017 | $228.14 | $91.96 | 2.48x | $136.18 | $278.0K | 3.0K | 1.7K |
| 2018 | $225.20 | $93.93 | 2.40x | $131.27 | $288.1K | 3.0K | 1.9K |
| 2019 | $231.95 | $100.54 | 2.31x | $131.41 | $266.5K | 2.8K | 1.7K |
| 2020 | $243.75 | $98.37 | 2.48x | $145.38 | $307.8K | 3.5K | 1.5K |
| 2021 | $231.11 | $93.31 | 2.48x | $137.80 | $787.1K | 9.6K | 2.4K |
| 2022 | $236.57 | $88.37 | 2.68x | $148.20 | $849.6K | 10.9K | 3.7K |
| 2023 | $209.34 | $87.63 | 2.39x | $121.71 | $1.5M | 17.5K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 22.1K | $1.7M | $77.95 | 2.73x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 7.1K | $627.6K | $88.99 | 2.96x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.5K | $558.8K | $160.20 | 2.15x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.1K | $367.1K | $60.37 | 3.41x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 5.7K | $326.1K | $57.45 | 2.88x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.2K | $307.9K | $140.73 | 2.03x |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.1K | $276.1K | $88.85 | 2.86x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 2.2K | $248.5K | $112.50 | 2.19x |
| 99236 | Hospital observation or inpatient care high severity, 55 minutes per day | 469 | $82.3K | $175.51 | 2.08x |
| 99220 | Hospital observation care typically 70 minutes per day | 432 | $65.3K | $151.17 | 1.76x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 313 | $57.3K | $183.21 | 2.17x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 392 | $36.3K | $92.58 | 2.40x |
| 99356 | Prolonged inpatient or observation hospital service first hour | 474 | $36.1K | $76.25 | 2.73x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 370 | $32.1K | $86.75 | 2.32x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 291 | $27.5K | $94.44 | 2.65x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 251 | $25.9K | $103.10 | 1.70x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 299 | $18.4K | $61.56 | 3.25x |
| 99217 | Hospital observation care discharge | 290 | $17.4K | $59.99 | 2.13x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 503 | $16.8K | $33.40 | 3.82x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 427 | $14.3K | $33.56 | 4.73x |
This provider submits charges 2.66 times higher than what Medicare actually pays.
A markup ratio of 2.66x means for every $100 Medicare pays, this provider initially charges $266. 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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