This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 170% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81% 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 | $618.13 | $133.01 | 4.65x | $485.12 | $215.7K | 3.0K | 2.0K |
| 2015 | $855.69 | $165.96 | 5.16x | $689.73 | $260.4K | 3.5K | 2.3K |
| 2016 | $995.05 | $186.55 | 5.33x | $808.50 | $215.8K | 2.7K | 1.9K |
| 2017 | $943.37 | $185.94 | 5.07x | $757.43 | $279.9K | 3.4K | 2.4K |
| 2018 | $847.45 | $190.23 | 4.45x | $657.22 | $309.4K | 3.8K | 2.7K |
| 2019 | $790.75 | $182.21 | 4.34x | $608.54 | $266.2K | 3.3K | 2.3K |
| 2020 | $569.13 | $150.52 | 3.78x | $418.61 | $239.7K | 3.3K | 2.2K |
| 2021 | $753.59 | $181.21 | 4.16x | $572.38 | $433.5K | 5.1K | 3.3K |
| 2022 | $607.56 | $174.99 | 3.47x | $432.57 | $497.8K | 5.6K | 3.8K |
| 2023 | $534.54 | $181.96 | 2.94x | $352.58 | $582.4K | 5.8K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 1.6K | $411.7K | $254.47 | 2.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $375.5K | $58.01 | 2.76x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 698 | $250.8K | $359.34 | 6.23x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $204.5K | $159.25 | 2.22x |
| 57265 | Repair of herniated rectum and bladder into vaginal wall | 352 | $168.0K | $477.34 | 5.00x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 496 | $162.9K | $328.47 | 2.23x |
| 51727 | Insertion of electronic device into bladder with bladder canal (urethra) pressure studies | 1.1K | $152.3K | $135.78 | 2.66x |
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 977 | $137.8K | $141.03 | 2.63x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 1.2K | $125.4K | $103.05 | 2.45x |
| 58262 | Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries | 157 | $119.4K | $760.65 | 3.18x |
| 57425 | Vaginal defect repair using an endoscope | 148 | $104.0K | $702.46 | 4.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 804 | $100.6K | $125.19 | 2.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.0K | $93.1K | $93.04 | 2.03x |
| 51701 | Insertion of temporary bladder catheter | 2.2K | $83.3K | $37.47 | 3.04x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 669 | $78.0K | $116.58 | 1.94x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 901 | $65.4K | $72.57 | 2.93x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 2.7K | $64.3K | $23.44 | 7.95x |
| 57110 | Removal of vaginal wall | 127 | $64.1K | $504.92 | 5.39x |
| 57282 | Vaginal repair of pelvic ligaments | 228 | $62.2K | $272.66 | 5.39x |
| 57160 | Fitting and insertion of vaginal support device | 984 | $56.1K | $56.97 | 3.38x |
This provider submits charges 3.54 times higher than what Medicare actually pays.
A markup ratio of 3.54x means for every $100 Medicare pays, this provider initially charges $354. 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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