This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Critical Care (Intensivists) providers nationally.
Medicare payments to this provider grew 248% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 366% in 2016
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 | $120.40 | $55.90 | 2.15x | $64.50 | $115.8K | 1.6K | 847 |
| 2015 | $180.56 | $69.18 | 2.61x | $111.38 | $88.6K | 1.2K | 604 |
| 2016 | $360.41 | $112.54 | 3.20x | $247.87 | $412.4K | 5.1K | 1.6K |
| 2017 | $353.33 | $106.31 | 3.32x | $247.02 | $460.2K | 5.7K | 2.5K |
| 2018 | $322.38 | $98.97 | 3.26x | $223.41 | $426.8K | 5.7K | 2.3K |
| 2019 | $325.94 | $102.17 | 3.19x | $223.77 | $425.6K | 5.4K | 2.2K |
| 2020 | $318.99 | $100.10 | 3.19x | $218.89 | $581.2K | 6.7K | 2.3K |
| 2021 | $295.85 | $99.24 | 2.98x | $196.61 | $374.9K | 3.8K | 1.5K |
| 2022 | $280.05 | $86.43 | 3.24x | $193.62 | $449.8K | 4.4K | 1.7K |
| 2023 | $307.21 | $96.23 | 3.19x | $210.98 | $403.3K | 3.7K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 20.3K | $1.2M | $60.90 | 3.19x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 5.5K | $1.0M | $189.11 | 3.15x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.4K | $1.0M | $88.34 | 3.10x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.9K | $217.3K | $114.28 | 3.22x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.0K | $65.7K | $32.94 | 3.20x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 320 | $50.4K | $157.43 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 971 | $48.0K | $49.47 | 2.36x |
| 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 213 | $26.7K | $125.39 | 3.18x |
| 99292 | Critical care, each additional 30 minutes | 124 | $11.7K | $94.05 | 3.19x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 117 | $9.1K | $77.82 | 3.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 85 | $6.5K | $76.37 | 2.25x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 41 | $3.2K | $77.70 | 2.24x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 20 | $2.6K | $131.08 | 3.19x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 49 | $1.2K | $25.27 | 3.13x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 83 | $1.2K | $14.32 | 3.20x |
| 77001 | Fluoroscopic guidance for insertion, replacement or removal of central venous access device | 47 | $792.16 | $16.85 | 5.33x |
| 94726 | Determination of lung volumes using plethysmography | 66 | $599.53 | $9.08 | 3.08x |
| 94729 | Measurement of lung diffusing capacity | 68 | $460.97 | $6.78 | 2.89x |
| 76937 | Ultrasonic guidance for blood vessel access | 35 | $433.92 | $12.40 | 3.65x |
| G0008 | Administration of influenza virus vaccine | 14 | $324.94 | $23.21 | 1.08x |
This provider submits charges 3.13 times higher than what Medicare actually pays.
A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. 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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