This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 97% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 95% in 2023
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 | $197.23 | $70.97 | 2.78x | $126.26 | $380.2K | 5.4K | 1.6K |
| 2015 | $189.60 | $64.28 | 2.95x | $125.32 | $318.6K | 4.5K | 1.4K |
| 2016 | $168.75 | $55.60 | 3.04x | $113.15 | $441.8K | 6.4K | 1.7K |
| 2017 | $235.42 | $79.17 | 2.97x | $156.25 | $568.9K | 8.5K | 2.4K |
| 2018 | $290.24 | $78.08 | 3.72x | $212.16 | $711.0K | 9.9K | 2.6K |
| 2019 | $302.84 | $75.88 | 3.99x | $226.96 | $614.4K | 6.7K | 1.3K |
| 2020 | $327.33 | $90.10 | 3.63x | $237.23 | $418.9K | 4.2K | 843 |
| 2021 | $306.05 | $99.69 | 3.07x | $206.36 | $356.0K | 3.1K | 666 |
| 2022 | $317.52 | $105.29 | 3.02x | $212.23 | $384.8K | 2.9K | 711 |
| 2023 | $289.30 | $96.07 | 3.01x | $193.23 | $750.0K | 5.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 97610 | Low frequency, non-contact, non-thermal ultrasound wound assessment, and instructions for ongoing care, per day | 5.9K | $1.4M | $239.64 | 2.44x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 7.8K | $623.4K | $79.49 | 2.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.7K | $582.2K | $75.20 | 2.68x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.1K | $347.4K | $49.15 | 2.86x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $250.1K | $154.27 | 2.53x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 4.1K | $243.9K | $59.15 | 3.32x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 2.6K | $201.8K | $77.39 | 4.57x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 1.9K | $192.0K | $102.48 | 4.24x |
| 29580 | Strapping, Unna boot | 3.1K | $145.4K | $47.09 | 4.33x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 1.1K | $114.9K | $103.12 | 4.47x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 409 | $77.7K | $189.86 | 3.99x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 4.0K | $70.5K | $17.46 | 3.13x |
| Q4151 | Amnioband or guardian, per square centimeter | 492 | $66.8K | $135.86 | 5.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 564 | $64.0K | $113.52 | 2.79x |
| 97597 | Removal of tissue from wounds per session | 1.8K | $62.4K | $34.64 | 2.97x |
| Q4154 | Biovance, per square centimeter | 368 | $48.9K | $132.91 | 4.77x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 858 | $47.5K | $55.32 | 2.51x |
| Q4133 | Grafix prime and grafixpl prime, per square centimeter | 297 | $31.5K | $105.97 | 7.66x |
| Q4131 | Epifix or epicord, per square centimeter | 183 | $23.0K | $125.83 | 5.43x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 150 | $21.7K | $144.40 | 4.00x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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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