This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Nephrology 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 | $239.63 | $117.08 | 2.05x | $122.55 | $502.1K | 3.2K | 1.0K |
| 2015 | $233.22 | $113.72 | 2.05x | $119.50 | $505.2K | 3.4K | 1.1K |
| 2016 | $242.65 | $118.02 | 2.06x | $124.63 | $379.6K | 2.5K | 941 |
| 2017 | $228.26 | $111.22 | 2.05x | $117.04 | $448.0K | 2.9K | 993 |
| 2018 | $228.26 | $107.89 | 2.12x | $120.37 | $428.1K | 3.1K | 1.0K |
| 2019 | $233.15 | $115.90 | 2.01x | $117.25 | $425.4K | 2.8K | 954 |
| 2020 | $213.72 | $106.52 | 2.01x | $107.20 | $428.5K | 2.5K | 835 |
| 2021 | $225.61 | $128.41 | 1.76x | $97.20 | $484.0K | 2.7K | 790 |
| 2022 | $228.38 | $129.08 | 1.77x | $99.30 | $439.1K | 2.4K | 771 |
| 2023 | $232.69 | $123.87 | 1.88x | $108.82 | $327.6K | 1.9K | 677 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 6.7K | $1.6M | $247.61 | 2.09x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 7.4K | $1.5M | $201.14 | 2.08x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 2.1K | $421.4K | $205.08 | 2.30x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.8K | $165.6K | $58.77 | 1.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $142.7K | $79.52 | 1.72x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 904 | $137.0K | $151.52 | 2.21x |
| 90935 | Hemodialysis procedure with one physician evaluation | 2.1K | $122.4K | $59.06 | 2.02x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $66.9K | $57.33 | 1.58x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 707 | $56.2K | $79.44 | 1.39x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 400 | $35.4K | $88.42 | 1.46x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 239 | $29.6K | $123.74 | 1.81x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 237 | $19.6K | $82.68 | 1.92x |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | 500 | $19.0K | $37.96 | 2.29x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 292 | $9.5K | $32.43 | 2.16x |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | 44 | $6.4K | $144.56 | 1.77x |
| 90945 | Dialysis procedure including one evaluation | 55 | $3.9K | $70.05 | 1.79x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 33 | $3.7K | $111.22 | 1.65x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 20 | $633.60 | $31.68 | 1.73x |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 16 | $176.83 | $11.05 | 2.71x |
This provider submits charges 2.05 times higher than what Medicare actually pays.
A markup ratio of 2.05x means for every $100 Medicare pays, this provider initially charges $205. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Nephrology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Feliciano Serrano, M.D. | Huntington Park, CA | $45.3M | ✓ Clear |
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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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