This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Gynecological Oncology 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 | $734.02 | $222.52 | 3.30x | $511.50 | $768.0K | 6.6K | 2.5K |
| 2015 | $681.53 | $197.63 | 3.45x | $483.90 | $704.4K | 5.8K | 2.3K |
| 2016 | $813.78 | $206.90 | 3.93x | $606.88 | $765.7K | 7.3K | 2.6K |
| 2017 | $822.26 | $229.15 | 3.59x | $593.11 | $745.7K | 8.0K | 2.6K |
| 2018 | $846.86 | $239.01 | 3.54x | $607.85 | $784.9K | 6.9K | 2.4K |
| 2019 | $871.35 | $244.18 | 3.57x | $627.17 | $736.8K | 7.1K | 2.5K |
| 2020 | $747.98 | $212.82 | 3.51x | $535.16 | $762.7K | 8.2K | 2.5K |
| 2021 | $700.46 | $185.59 | 3.77x | $514.87 | $619.3K | 7.8K | 2.6K |
| 2022 | $618.43 | $146.87 | 4.21x | $471.56 | $376.2K | 6.4K | 2.3K |
| 2023 | $871.06 | $190.99 | 4.56x | $680.07 | $377.4K | 5.2K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 890 | $2.7M | $3.0K | 2.02x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.7K | $931.7K | $86.93 | 4.07x |
| 50715 | Release of scar tissue at urinary duct (ureter) | 464 | $579.9K | $1.2K | 3.27x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 2.4K | $276.5K | $113.61 | 3.73x |
| 58548 | Removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy using an endoscope | 147 | $245.9K | $1.7K | 3.65x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 212 | $187.2K | $883.25 | 1.93x |
| 57452 | Examination of the vagina and cervix using an endoscope | 1.8K | $164.4K | $93.08 | 3.75x |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 3.3K | $149.1K | $45.57 | 3.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $145.6K | $129.32 | 3.85x |
| 58573 | Abdominal removal of uterus (greater than 250 grams), tubes, and/or ovaries using an endoscope | 203 | $121.1K | $596.51 | 7.82x |
| 57423 | Vaginal defect repair using an endoscope | 282 | $112.6K | $399.11 | 8.59x |
| 76830 | Ultrasound pelvis through vagina | 1.1K | $103.0K | $96.70 | 3.99x |
| Q2050 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10mg | 271 | $94.9K | $350.33 | 2.96x |
| 49204 | Removal or destruction of (5.1 to 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open abdominal procedure | 86 | $65.8K | $765.24 | 6.33x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.2K | $65.6K | $54.07 | 3.55x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 374 | $59.5K | $159.10 | 3.70x |
| 56820 | Examination of external female genitals using an endoscope | 582 | $58.0K | $99.63 | 4.58x |
| 57420 | Examination of the vagina using an endoscope | 520 | $55.6K | $106.94 | 3.59x |
| 76856 | Ultrasound of pelvis | 607 | $54.4K | $89.68 | 4.13x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.1K | $51.5K | $25.09 | 3.37x |
This provider submits charges 3.21 times higher than what Medicare actually pays.
A markup ratio of 3.21x means for every $100 Medicare pays, this provider initially charges $321. 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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