This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 420% 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 | $194.61 | $98.08 | 1.98x | $96.53 | $555.6K | 6.1K | 1.6K |
| 2015 | $416.25 | $205.20 | 2.03x | $211.05 | $1.2M | 6.3K | 1.7K |
| 2016 | $396.25 | $200.39 | 1.98x | $195.86 | $1.4M | 6.3K | 1.9K |
| 2017 | $195.93 | $89.18 | 2.20x | $106.75 | $592.2K | 4.7K | 1.6K |
| 2018 | $210.03 | $98.67 | 2.13x | $111.36 | $625.6K | 4.6K | 1.3K |
| 2019 | $248.74 | $108.68 | 2.29x | $140.06 | $305.9K | 2.6K | 802 |
| 2020 | $142.07 | $54.52 | 2.61x | $87.55 | $72.9K | 1.3K | 947 |
| 2021 | $500.75 | $207.45 | 2.41x | $293.30 | $379.0K | 813 | 127 |
| 2022 | $424.89 | $171.52 | 2.48x | $253.37 | $453.1K | 1.1K | 254 |
| 2023 | $482.46 | $193.46 | 2.49x | $289.00 | $491.2K | 1.2K | 164 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 1.7K | $1.4M | $868.96 | 2.19x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 407 | $1.4M | $3.4K | 1.90x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 1.1K | $1.2M | $1.1K | 2.80x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 5.7K | $559.8K | $98.07 | 1.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $236.5K | $73.10 | 1.64x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 4.5K | $222.2K | $49.26 | 2.06x |
| 97597 | Removal of tissue from wounds per session | 3.4K | $170.6K | $49.82 | 2.20x |
| 29580 | Strapping, Unna boot | 3.7K | $149.7K | $39.95 | 1.84x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.3K | $107.0K | $79.58 | 2.01x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 764 | $76.1K | $99.67 | 1.60x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 1.3K | $54.9K | $41.14 | 2.09x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 694 | $53.5K | $77.15 | 1.45x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 744 | $50.2K | $67.44 | 2.00x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 405 | $48.3K | $119.27 | 2.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 728 | $37.0K | $50.84 | 1.62x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 613 | $33.6K | $54.87 | 1.81x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 333 | $30.6K | $91.84 | 3.32x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 237 | $30.2K | $127.56 | 2.02x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 245 | $23.6K | $96.14 | 2.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 378 | $19.9K | $52.75 | 2.73x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. 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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