Statistical flag only — not an accusation of fraud
This provider's $113.9K in total Medicare payments ranks in the 94th percentile of Obstetrics & Gynecology providers nationally.
Their average markup ratio of 23.66x is significantly above the specialty median of 3.1x.
Medicare payments to this provider grew 77% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
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 | $158.05 | $6.68 | 23.66x | $151.37 | $8.0K | 1.2K | 39 |
| 2015 | $158.05 | $6.68 | 23.66x | $151.37 | $8.7K | 1.3K | 43 |
| 2016 | $158.29 | $6.69 | 23.66x | $151.60 | $9.3K | 1.4K | 46 |
| 2017 | $158.29 | $6.69 | 23.66x | $151.60 | $10.0K | 1.5K | 50 |
| 2018 | $158.05 | $6.68 | 23.66x | $151.37 | $10.7K | 1.6K | 53 |
| 2019 | $158.05 | $6.68 | 23.66x | $151.37 | $11.4K | 1.7K | 56 |
| 2020 | $158.05 | $6.68 | 23.66x | $151.37 | $12.1K | 1.8K | 60 |
| 2021 | $158.29 | $6.69 | 23.66x | $151.60 | $12.8K | 1.9K | 63 |
| 2022 | $158.29 | $6.69 | 23.66x | $151.60 | $13.4K | 2.0K | 67 |
| 2023 | $158.05 | $6.68 | 23.66x | $151.37 | $14.1K | 2.1K | 70 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, est patient, low | 5.8K | $38.9K | $6.68 | 19.64x |
| 99214 | Office/outpatient visit, est patient, moderate | 2.9K | $19.4K | $6.68 | 21.13x |
| 99215 | Office/outpatient visit, est patient, high | 1.9K | $13.0K | $6.68 | 25.06x |
| 99223 | Initial hospital care, high complexity | 1.5K | $9.7K | $6.69 | 26.66x |
| 99232 | Subsequent hospital care, moderate | 1.2K | $7.8K | $6.69 | 22.73x |
| 93000 | Electrocardiogram, complete | 970 | $6.5K | $6.68 | 21.18x |
| 71046 | Chest X-ray, 2 views | 831 | $5.6K | $6.68 | 22.40x |
| 80053 | Comprehensive metabolic panel | 727 | $4.9K | $6.69 | 28.15x |
| 85025 | Complete blood count (CBC) | 646 | $4.3K | $6.69 | 27.68x |
| 36415 | Venipuncture | 582 | $3.9K | $6.68 | 25.34x |
This provider submits charges 23.66 times higher than what Medicare actually pays.
A markup ratio of 23.66x means for every $100 Medicare pays, this provider initially charges $2366. 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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