This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 75549% from 2014 to 2023.
68% of their billing comes from a single procedure code (G0181 — Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 13562% in 2016
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 | $209.40 | $23.50 | 8.91x | $185.90 | $352.52 | 15 | 15 |
| 2015 | $1.3K | $37.12 | 35.72x | $1.3K | $1.5K | 42 | 40 |
| 2016 | $156.89 | $73.75 | 2.13x | $83.14 | $199.0K | 2.8K | 1.7K |
| 2017 | $147.34 | $62.21 | 2.37x | $85.13 | $462.5K | 6.8K | 3.5K |
| 2018 | $157.05 | $71.38 | 2.20x | $85.67 | $708.6K | 9.4K | 5.1K |
| 2019 | $158.99 | $91.69 | 1.73x | $67.30 | $914.8K | 11.8K | 6.9K |
| 2020 | $261.60 | $95.28 | 2.75x | $166.32 | $740.1K | 9.7K | 4.1K |
| 2021 | $231.51 | $80.99 | 2.86x | $150.52 | $464.3K | 6.4K | 2.4K |
| 2022 | $199.48 | $72.14 | 2.77x | $127.34 | $324.9K | 4.6K | 1.7K |
| 2023 | $150.23 | $55.36 | 2.71x | $94.87 | $266.7K | 3.8K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 31.9K | $2.8M | $86.83 | 2.35x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | 9.2K | $405.8K | $44.34 | 2.27x |
| G0179 | Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp | 7.7K | $268.5K | $34.68 | 2.35x |
| 99344 | New patient home visit, typically 60 minutes | 1.3K | $176.7K | $136.35 | 2.02x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 570 | $101.6K | $178.27 | 1.52x |
| 99350 | Established patient home visit, typically 60 minutes | 670 | $74.9K | $111.78 | 2.02x |
| 99349 | Established patient home visit, typically 40 minutes | 834 | $60.8K | $72.95 | 1.56x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 440 | $48.9K | $111.08 | 1.48x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 344 | $35.7K | $103.78 | 2.87x |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 669 | $29.8K | $44.60 | 1.95x |
| 99343 | New patient home visit, typically 45 minutes | 282 | $27.3K | $96.76 | 1.99x |
| 99345 | New patient home visit, typically 75 minutes | 165 | $26.0K | $157.40 | 2.53x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 199 | $18.3K | $92.08 | 2.64x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 184 | $12.1K | $65.66 | 3.09x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 290 | $9.1K | $31.35 | 5.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 97 | $4.7K | $48.55 | 6.63x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 148 | $2.1K | $14.30 | 1.40x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 36 | $1.8K | $49.66 | 3.04x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 12 | $1.7K | $142.09 | 1.48x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 26 | $1.1K | $43.01 | 5.25x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data