This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Endocrinology 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 | $107.81 | $64.52 | 1.67x | $43.29 | $511.2K | 8.0K | 3.8K |
| 2015 | $109.98 | $66.09 | 1.66x | $43.89 | $501.8K | 8.0K | 3.9K |
| 2016 | $108.01 | $60.76 | 1.78x | $47.25 | $485.2K | 8.0K | 4.0K |
| 2017 | $110.52 | $62.48 | 1.77x | $48.04 | $456.0K | 8.6K | 4.3K |
| 2018 | $113.09 | $65.51 | 1.73x | $47.58 | $448.5K | 8.4K | 4.3K |
| 2019 | $115.94 | $65.62 | 1.77x | $50.32 | $458.8K | 8.4K | 4.3K |
| 2020 | $110.14 | $63.67 | 1.73x | $46.47 | $413.4K | 8.0K | 4.2K |
| 2021 | $118.89 | $71.22 | 1.67x | $47.67 | $467.9K | 8.2K | 4.2K |
| 2022 | $120.83 | $66.62 | 1.81x | $54.21 | $408.4K | 7.6K | 3.9K |
| 2023 | $115.95 | $59.14 | 1.96x | $56.81 | $417.0K | 7.7K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.8K | $1.4M | $84.56 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.6K | $1.1M | $58.47 | 1.58x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.5K | $394.8K | $112.63 | 1.38x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.5K | $383.4K | $59.41 | 1.43x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 9.3K | $316.5K | $34.03 | 1.76x |
| 76536 | Ultrasound of head and neck | 2.4K | $209.4K | $87.19 | 1.60x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.9K | $204.9K | $34.66 | 1.97x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.9K | $158.1K | $81.76 | 1.75x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.3K | $69.9K | $55.41 | 2.08x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 486 | $60.0K | $123.45 | 1.58x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 714 | $54.1K | $75.76 | 1.65x |
| 10022 | Fine needle aspiration using imaging guidance | 450 | $51.0K | $113.24 | 1.50x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.7K | $42.4K | $15.53 | 2.25x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 342 | $37.2K | $108.77 | 2.07x |
| 36415 | Insertion of needle into vein for collection of blood sample | 8.7K | $25.9K | $2.98 | 1.09x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 454 | $23.1K | $50.81 | 4.43x |
| 99219 | Hospital observation care typically 50 minutes | 113 | $12.6K | $111.15 | 1.39x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 532 | $9.2K | $17.33 | 2.02x |
| 10006 | Fine needle aspiration of additional lesion using ultrasound guidance | 120 | $6.2K | $51.46 | 3.30x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 25 | $2.9K | $117.02 | 1.91x |
This provider submits charges 1.59 times higher than what Medicare actually pays.
A markup ratio of 1.59x means for every $100 Medicare pays, this provider initially charges $159. This is lower 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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