This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Osteopathic Manipulative Medicine providers nationally.
Medicare payments to this provider grew 276% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% in 2021
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 | $161.48 | $54.53 | 2.96x | $106.95 | $145.7K | 3.7K | 1.6K |
| 2015 | $213.81 | $76.43 | 2.80x | $137.38 | $200.0K | 4.1K | 1.8K |
| 2016 | $188.17 | $64.73 | 2.91x | $123.44 | $212.9K | 4.0K | 2.0K |
| 2017 | $206.63 | $65.19 | 3.17x | $141.44 | $299.2K | 5.1K | 2.9K |
| 2018 | $185.97 | $62.72 | 2.97x | $123.25 | $236.3K | 4.4K | 2.7K |
| 2019 | $201.40 | $68.53 | 2.94x | $132.87 | $312.3K | 5.2K | 3.3K |
| 2020 | $166.32 | $58.40 | 2.85x | $107.92 | $405.3K | 6.7K | 4.8K |
| 2021 | $185.62 | $73.20 | 2.54x | $112.42 | $633.1K | 9.1K | 6.7K |
| 2022 | $171.81 | $61.93 | 2.77x | $109.88 | $645.9K | 10.6K | 7.6K |
| 2023 | $165.45 | $59.52 | 2.78x | $105.93 | $547.5K | 9.5K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.6K | $686.4K | $80.22 | 2.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.7K | $561.2K | $58.10 | 2.63x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 2.7K | $272.4K | $99.36 | 3.91x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.7K | $258.3K | $156.36 | 3.84x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.6K | $242.8K | $149.54 | 3.21x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.4K | $181.4K | $128.36 | 1.25x |
| 93922 | Ultrasound study of arteries of both arms and legs | 2.5K | $170.1K | $66.72 | 2.83x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 2.3K | $160.5K | $70.47 | 2.55x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.5K | $128.2K | $82.81 | 1.81x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 575 | $111.7K | $194.32 | 1.80x |
| 76700 | Ultrasound of abdomen | 1.1K | $107.2K | $95.01 | 2.05x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 623 | $106.5K | $170.88 | 1.77x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.3K | $92.0K | $14.54 | 2.75x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 481 | $63.2K | $131.33 | 2.48x |
| 95943 | Testing of autonomic (parasympathetic and sympathetic) nervous system function | 475 | $61.1K | $128.57 | 3.42x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.2K | $48.8K | $39.56 | 5.08x |
| 71046 | X-ray of chest, 2 views | 1.9K | $43.2K | $23.16 | 3.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 374 | $40.4K | $107.95 | 3.11x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 94 | $27.6K | $293.27 | 2.56x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.4K | $27.4K | $11.50 | 5.39x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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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