Statistical flag only — not an accusation of fraud
This provider's $178.9M in total Medicare payments ranks in the 99th percentile of All Other Suppliers providers nationally.
Medicare payments to this provider grew 152% from 2014 to 2023.
84% of their billing comes from a single procedure code (L8619 — Cochlear implant, external speech processor and controller, integrated system, replacement).
This provider has been statistically flagged with a risk score of 79/100. 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 | $20.85 | $12.78 | 1.63x | $8.07 | $10.9M | 850.9K | 10 |
| 2015 | $26.62 | $15.44 | 1.72x | $11.18 | $11.5M | 747.6K | 11 |
| 2016 | $45.33 | $23.19 | 1.95x | $22.14 | $15.4M | 663.6K | 12 |
| 2017 | $47.59 | $23.99 | 1.98x | $23.60 | $20.5M | 854.5K | 10 |
| 2018 | $67.79 | $33.59 | 2.02x | $34.20 | $18.0M | 535.1K | 12 |
| 2019 | $2.3K | $1.2K | 2.00x | $1.2K | $17.0M | 14.7K | 12 |
| 2020 | $2.0K | $1.0K | 1.91x | $945.39 | $14.8M | 14.2K | 12 |
| 2021 | $2.5K | $1.3K | 1.89x | $1.2K | $20.0M | 15.0K | 11 |
| 2022 | $2.9K | $1.5K | 1.92x | $1.4K | $23.4M | 15.7K | 12 |
| 2023 | $3.5K | $1.9K | 1.86x | $1.6K | $27.4M | 14.5K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 23.2K | $150.0M | $6.5K | 1.76x |
| L8691 | Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each | 8.5K | $13.7M | $1.6K | 3.15x |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 57.4K | $6.8M | $118.75 | 2.15x |
| L8694 | Auditory osseointegrated device, transducer/actuator, replacement only, each | 5.5K | $4.2M | $769.85 | 1.57x |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each | 3.6M | $1.4M | $0.40 | 1.59x |
| L8628 | Cochlear implant, external controller component, replacement | 2.0K | $789.8K | $401.73 | 1.54x |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code | 11.1K | $573.6K | $51.75 | 2.40x |
| L7520 | Repair prosthetic device, labor component, per 15 minutes | 18.5K | $446.3K | $24.10 | 1.94x |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 13.0K | $255.8K | $19.63 | 13.40x |
| L8617 | Transmitting coil for use with cochlear implant device, replacement | 3.8K | $242.9K | $63.22 | 3.67x |
| L8629 | Transmitting coil and cable, integrated, for use with cochlear implant device, replacement | 1.6K | $209.6K | $131.14 | 2.51x |
| L8625 | External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each | 1.3K | $138.6K | $103.17 | 2.36x |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 4.9K | $86.6K | $17.68 | 5.72x |
| L8499 | Unlisted procedure for miscellaneous prosthetic services | 14 | $398.59 | $28.47 | 1.71x |
This provider submits charges 1.9 times higher than what Medicare actually pays.
A markup ratio of 1.9x means for every $100 Medicare pays, this provider initially charges $190. This is lower 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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