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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Edward Condon
๐Ÿ’Š
MDIndividual

Edward Condon, MD

NPI: 1225058969
Commack, NY
10 years of data
Endocrinology
$10.7M
Total Payments
195.2K
Beneficiaries
369.2K
Services
3.77x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.7M
Specialty median$76.9K

๐Ÿ“‹ Key Findings

1Billed $10.7M over 10 years
23.77x markup ratio (above median)
399th percentile in Endocrinology by payments
4148 services/day โ€” unusually high
519 procedures with >3x markup

This provider averages 148 services per working day

Based on 369.2K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.

Averaging 148 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$138.86$48.762.85x$90.10$834.3K26.9K14.2K
2015$134.53$47.902.81x$86.63$898.3K29.2K15.7K
2016$144.56$44.753.23x$99.81$1.1M36.9K19.1K
2017$170.26$45.823.72x$124.44$1.2M38.1K20.2K
2018$154.66$38.973.97x$115.69$1.1M38.6K21.0K
2019$155.85$37.954.11x$117.90$1.1M39.2K21.2K
2020$154.72$36.704.22x$118.02$1.0M37.2K20.1K
2021$151.76$39.723.82x$112.04$1.2M40.5K20.2K
2022$148.73$36.254.10x$112.48$1.2M41.1K21.1K
2023$141.89$34.814.08x$107.08$1.1M41.5K22.5K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutesโš  3.6x markup
$2.4M
24.6K services$97.44/svc3.61x markup
83970Parathormone (parathyroid hormone) levelโš  3.6x markup
$808.2K
17.3K services$46.78/svc3.64x markup
82306Vitamin D-3 levelโš  3.3x markup
$575.7K
17.0K services$33.85/svc3.31x markup
82308Calcitonin (hormone) levelโš  3.5x markup
$514.2K
17.0K services$30.33/svc3.48x markup
76536Ultrasound of head and neckโš  4.0x markup
$401.0K
3.9K services$101.99/svc4.02x markup
84146Prolactin (milk producing hormone) levelโš  3.8x markup
$369.3K
16.8K services$22.04/svc3.83x markup
84481Thyroid hormone, T3 measurementโš  5.5x markup
$358.0K
18.7K services$19.19/svc5.50x markup
84443Blood test, thyroid stimulating hormone (TSH)โš  3.7x markup
$356.7K
18.7K services$19.11/svc3.73x markup
84681C-peptide (protein) levelโš  4.0x markup
$343.1K
14.7K services$23.35/svc4.01x markup
86800Thyroglobulin (thyroid protein) antibody measurementโš  3.7x markup
$335.6K
18.6K services$18.00/svc3.72x markup
82607Cyanocobalamin (vitamin B-12) level
$310.4K
18.2K services$17.08/svc2.84x markup
86376Microsomal antibodies (autoantibody) measurementโš  3.8x markup
$307.2K
18.7K services$16.47/svc3.81x markup
84445Thyroid stimulating immune globulins (thyroid related protein) levelโš  4.2x markup
$301.8K
5.9K services$51.53/svc4.19x markup
84442Thyroxine binding globulin (thyroid related protein) levelโš  3.7x markup
$281.6K
16.8K services$16.77/svc3.66x markup
99204New patient office or other outpatient visit, typically 45 minutesโš  3.0x markup
$231.3K
1.6K services$140.54/svc3.03x markup
82024Adrenocorticotropic hormone (ACTH) levelโš  3.9x markup
$228.3K
5.1K services$44.89/svc3.91x markup
82670Estradiol (hormone) levelโš  3.6x markup
$225.7K
6.9K services$32.49/svc3.62x markup
84403Testosterone (hormone) levelโš  3.5x markup
$212.4K
7.1K services$30.06/svc3.45x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  4.1x markup
$192.3K
2.8K services$69.24/svc4.07x markup
84439Thyroxine (thyroid chemical) measurementโš  4.6x markup
$191.5K
18.6K services$10.27/svc4.60x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes24.6K$2.4M$97.443.61x
83970Parathormone (parathyroid hormone) level17.3K$808.2K$46.783.64x
82306Vitamin D-3 level17.0K$575.7K$33.853.31x
82308Calcitonin (hormone) level17.0K$514.2K$30.333.48x
76536Ultrasound of head and neck3.9K$401.0K$101.994.02x
84146Prolactin (milk producing hormone) level16.8K$369.3K$22.043.83x
84481Thyroid hormone, T3 measurement18.7K$358.0K$19.195.50x
84443Blood test, thyroid stimulating hormone (TSH)18.7K$356.7K$19.113.73x
84681C-peptide (protein) level14.7K$343.1K$23.354.01x
86800Thyroglobulin (thyroid protein) antibody measurement18.6K$335.6K$18.003.72x
82607Cyanocobalamin (vitamin B-12) level18.2K$310.4K$17.082.84x
86376Microsomal antibodies (autoantibody) measurement18.7K$307.2K$16.473.81x
84445Thyroid stimulating immune globulins (thyroid related protein) level5.9K$301.8K$51.534.19x
84442Thyroxine binding globulin (thyroid related protein) level16.8K$281.6K$16.773.66x
99204New patient office or other outpatient visit, typically 45 minutes1.6K$231.3K$140.543.03x
82024Adrenocorticotropic hormone (ACTH) level5.1K$228.3K$44.893.91x
82670Estradiol (hormone) level6.9K$225.7K$32.493.62x
84403Testosterone (hormone) level7.1K$212.4K$30.063.45x
99213Established patient office or other outpatient visit, typically 15 minutes2.8K$192.3K$69.244.07x
84439Thyroxine (thyroid chemical) measurement18.6K$191.5K$10.274.60x

Markup Analysis

Charge-to-Payment Ratio

3.77x

This provider submits charges 3.77 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.77x means for every $100 Medicare pays, this provider initially charges $377. This is higher than the national average.

Location

Commack, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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