This provider's $9.7M in total Medicare payments ranks in the 99th percentile of Critical Care (Intensivists) providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $279.50 | $118.89 | 2.35x | $160.61 | $830.8K | 5.4K | 1.5K |
| 2015 | $277.34 | $119.76 | 2.32x | $157.58 | $983.3K | 5.8K | 1.4K |
| 2016 | $302.36 | $131.53 | 2.30x | $170.83 | $1.1M | 6.6K | 1.6K |
| 2017 | $311.43 | $140.28 | 2.22x | $171.15 | $1.1M | 5.7K | 1.3K |
| 2018 | $311.40 | $147.08 | 2.12x | $164.32 | $1.2M | 5.6K | 1.3K |
| 2019 | $286.62 | $127.30 | 2.25x | $159.32 | $1.1M | 6.7K | 1.5K |
| 2020 | $264.69 | $121.87 | 2.17x | $142.82 | $780.7K | 5.6K | 1.2K |
| 2021 | $274.18 | $130.62 | 2.10x | $143.56 | $640.0K | 6.5K | 1.2K |
| 2022 | $269.87 | $127.52 | 2.12x | $142.35 | $910.8K | 9.9K | 1.8K |
| 2023 | $250.66 | $118.74 | 2.11x | $131.92 | $1.1M | 11.4K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 19.1K | $4.5M | $237.66 | 1.89x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 13.5K | $903.8K | $66.93 | 2.60x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 6.9K | $902.8K | $130.45 | 1.92x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 5.8K | $887.5K | $152.88 | 2.29x |
| 99292 | Critical care delivery critically ill or injured patient | 8.1K | $871.5K | $108.20 | 2.08x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 3.3K | $390.2K | $117.82 | 2.55x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 4.5K | $388.0K | $85.88 | 2.14x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.1K | $266.1K | $238.21 | 1.67x |
| 99491 | Chronic care management services by qualified health care professional, 30 minutes or more per calendar month | 3.3K | $264.8K | $79.53 | 1.89x |
| 99239 | Hospital discharge day management, more than 30 minutes | 538 | $53.8K | $99.97 | 3.01x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 284 | $50.9K | $179.21 | 2.23x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 1.1K | $48.1K | $41.82 | 2.39x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 414 | $33.5K | $80.87 | 2.49x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 284 | $29.2K | $102.83 | 2.45x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 153 | $28.0K | $183.23 | 1.91x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 273 | $27.3K | $100.09 | 3.25x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 453 | $18.5K | $40.88 | 3.67x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 12 | $2.1K | $176.91 | 1.98x |
This provider submits charges 2.07 times higher than what Medicare actually pays.
A markup ratio of 2.07x means for every $100 Medicare pays, this provider initially charges $207. 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