This provider averages 139 services per working day
Based on 346.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.8M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Averaging 139 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 147% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2017
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 | $311.27 | $115.47 | 2.70x | $195.80 | $567.7K | 7.0K | 3.0K |
| 2015 | $305.88 | $107.19 | 2.85x | $198.69 | $620.5K | 7.8K | 3.9K |
| 2016 | $287.86 | $98.39 | 2.93x | $189.47 | $623.4K | 8.3K | 4.0K |
| 2017 | $143.61 | $50.00 | 2.87x | $93.61 | $1.0M | 28.0K | 12.1K |
| 2018 | $155.68 | $54.91 | 2.84x | $100.77 | $1.3M | 39.8K | 15.9K |
| 2019 | $157.60 | $55.27 | 2.85x | $102.33 | $1.5M | 50.9K | 19.6K |
| 2020 | $155.84 | $57.68 | 2.70x | $98.16 | $1.6M | 50.8K | 19.5K |
| 2021 | $148.61 | $57.53 | 2.58x | $91.08 | $1.8M | 57.6K | 22.3K |
| 2022 | $152.78 | $54.80 | 2.79x | $97.98 | $1.4M | 50.4K | 20.0K |
| 2023 | $138.12 | $51.12 | 2.70x | $87.00 | $1.4M | 46.1K | 19.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 28.9K | $2.4M | $81.30 | 2.28x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 41.9K | $2.3M | $54.21 | 3.41x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 4.4K | $1.0M | $234.53 | 2.03x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 7.0K | $1.0M | $145.33 | 2.68x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 12.0K | $927.4K | $77.54 | 2.84x |
| 83970 | Parathormone (parathyroid hormone) level | 18.5K | $800.2K | $43.30 | 1.43x |
| 82306 | Vitamin D-3 level | 13.5K | $418.7K | $30.91 | 1.36x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 4.1K | $412.1K | $101.01 | 3.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $205.6K | $54.22 | 2.95x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $174.7K | $115.51 | 2.94x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 21.2K | $173.0K | $8.18 | 2.57x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 847 | $137.8K | $162.65 | 2.09x |
| 83735 | Magnesium level | 18.6K | $130.4K | $7.03 | 3.84x |
| 82728 | Ferritin (blood protein) level | 8.6K | $122.4K | $14.22 | 4.71x |
| 99219 | Hospital observation care typically 50 minutes | 1.1K | $118.0K | $102.88 | 3.30x |
| 80069 | Kidney function blood test panel | 13.0K | $115.7K | $8.90 | 2.36x |
| 82043 | Urine microalbumin (protein) level | 18.1K | $110.1K | $6.08 | 2.63x |
| 99225 | Subsequent observation care, typically 25 minutes per day | 2.0K | $109.6K | $54.91 | 2.28x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 549 | $107.9K | $196.62 | 2.11x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4K | $106.4K | $77.14 | 2.85x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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.
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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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