This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Medicare payments to this provider grew 55% from 2014 to 2023.
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 | $107.51 | $73.44 | 1.46x | $34.07 | $292.1K | 4.6K | 3.3K |
| 2015 | $139.76 | $75.18 | 1.86x | $64.58 | $311.5K | 5.0K | 3.6K |
| 2016 | $177.62 | $68.84 | 2.58x | $108.78 | $329.5K | 5.2K | 3.6K |
| 2017 | $175.53 | $65.33 | 2.69x | $110.20 | $347.7K | 4.8K | 3.3K |
| 2018 | $138.48 | $54.10 | 2.56x | $84.38 | $399.5K | 6.2K | 4.5K |
| 2019 | $146.21 | $55.87 | 2.62x | $90.34 | $410.8K | 6.6K | 4.7K |
| 2020 | $153.55 | $57.50 | 2.67x | $96.05 | $427.2K | 6.7K | 5.0K |
| 2021 | $155.65 | $59.41 | 2.62x | $96.24 | $460.7K | 5.7K | 4.1K |
| 2022 | $197.38 | $74.36 | 2.65x | $123.02 | $461.8K | 6.1K | 4.0K |
| 2023 | $181.00 | $67.24 | 2.69x | $113.76 | $452.6K | 6.0K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.9K | $1.4M | $96.01 | 2.09x |
| 76536 | Ultrasound of head and neck | 9.1K | $964.1K | $105.90 | 2.43x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.1K | $198.7K | $179.34 | 1.79x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $175.4K | $129.75 | 2.21x |
| 77085 | Bone density measurement using dedicated X-ray machine | 2.9K | $169.2K | $58.68 | 5.08x |
| 76830 | Ultrasound pelvis through vagina | 1.5K | $160.7K | $107.78 | 2.52x |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 1.3K | $99.3K | $73.86 | 2.71x |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic co | 922 | $78.2K | $84.83 | 2.36x |
| 95250 | Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours | 322 | $45.4K | $140.90 | 2.32x |
| 83036 | Hemoglobin A1C level | 4.0K | $44.2K | $11.09 | 4.11x |
| 10022 | Fine needle aspiration using imaging guidance | 345 | $42.6K | $123.46 | 1.83x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 327 | $41.6K | $127.20 | 3.03x |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 777 | $39.8K | $51.24 | 1.24x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 1.2K | $38.7K | $32.50 | 10.09x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 250 | $32.7K | $130.77 | 1.48x |
| 82306 | Vitamin D-3 level | 909 | $28.8K | $31.65 | 2.37x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 137 | $24.0K | $174.99 | 1.06x |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 489 | $23.5K | $48.01 | 1.56x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 130 | $22.5K | $173.25 | 1.06x |
| 82274 | Stool analysis for blood | 1.2K | $22.0K | $18.37 | 2.72x |
This provider submits charges 2.5 times higher than what Medicare actually pays.
A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data