This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 134% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2017
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 | $330.17 | $142.53 | 2.32x | $187.64 | $232.5K | 2.0K | 705 |
| 2015 | $354.25 | $136.40 | 2.60x | $217.85 | $236.7K | 1.9K | 670 |
| 2016 | $351.11 | $136.94 | 2.56x | $214.17 | $198.6K | 1.6K | 729 |
| 2017 | $343.81 | $136.31 | 2.52x | $207.50 | $351.7K | 3.3K | 1.1K |
| 2018 | $380.48 | $142.33 | 2.67x | $238.15 | $376.2K | 3.1K | 987 |
| 2019 | $385.42 | $144.25 | 2.67x | $241.17 | $414.4K | 3.3K | 1.1K |
| 2020 | $357.02 | $133.38 | 2.68x | $223.64 | $421.7K | 3.4K | 1.1K |
| 2021 | $361.52 | $160.98 | 2.25x | $200.54 | $503.8K | 3.7K | 1.1K |
| 2022 | $358.42 | $155.94 | 2.30x | $202.48 | $531.0K | 3.8K | 1.1K |
| 2023 | $303.69 | $122.97 | 2.47x | $180.72 | $544.9K | 4.3K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 5.8K | $1.6M | $267.23 | 2.40x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.7K | $659.5K | $61.71 | 2.98x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.7K | $504.4K | $88.42 | 2.59x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $275.8K | $165.96 | 2.42x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 684 | $150.5K | $220.00 | 2.35x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.4K | $129.7K | $90.08 | 2.48x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 565 | $121.8K | $215.57 | 2.22x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.0K | $115.6K | $113.35 | 2.57x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 403 | $74.3K | $184.36 | 2.23x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 551 | $69.0K | $125.27 | 2.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 699 | $46.5K | $66.47 | 2.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 282 | $36.3K | $128.74 | 2.65x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 148 | $24.3K | $163.98 | 2.45x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 129 | $22.2K | $172.06 | 2.64x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 168 | $7.8K | $46.47 | 2.47x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 180 | $7.7K | $42.58 | 2.35x |
| G0420 | Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour | 50 | $4.5K | $90.69 | 2.21x |
| 90935 | Hemodialysis procedure with one physician evaluation | 60 | $3.6K | $60.43 | 4.14x |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 62 | $1.1K | $17.70 | 2.26x |
This provider submits charges 2.53 times higher than what Medicare actually pays.
A markup ratio of 2.53x means for every $100 Medicare pays, this provider initially charges $253. 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.
Other Nephrology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Feliciano Serrano, M.D. | Huntington Park, CA | $45.3M | ✓ Clear |
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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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