This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Critical Care (Intensivists) providers nationally.
Medicare payments to this provider grew 50% from 2014 to 2023.
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 | $226.29 | $80.65 | 2.81x | $145.64 | $346.8K | 4.1K | 2.6K |
| 2015 | $260.28 | $83.67 | 3.11x | $176.61 | $344.9K | 3.9K | 2.7K |
| 2016 | $292.07 | $85.25 | 3.43x | $206.82 | $302.9K | 3.5K | 2.4K |
| 2017 | $359.61 | $100.75 | 3.57x | $258.86 | $367.1K | 4.3K | 2.9K |
| 2018 | $346.07 | $106.36 | 3.25x | $239.71 | $346.4K | 4.3K | 2.9K |
| 2019 | $380.50 | $112.35 | 3.39x | $268.15 | $326.5K | 4.5K | 2.4K |
| 2020 | $349.97 | $108.37 | 3.23x | $241.60 | $489.1K | 5.9K | 2.2K |
| 2021 | $338.58 | $113.26 | 2.99x | $225.32 | $622.7K | 8.6K | 2.3K |
| 2022 | $344.73 | $107.89 | 3.20x | $236.84 | $530.2K | 7.4K | 2.2K |
| 2023 | $373.32 | $119.65 | 3.12x | $253.67 | $521.1K | 6.5K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 18.3K | $1.1M | $58.68 | 2.05x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.6K | $969.3K | $83.57 | 2.49x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 2.8K | $503.7K | $177.66 | 2.92x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $261.4K | $86.18 | 1.96x |
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 673 | $223.7K | $332.40 | 3.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.6K | $208.7K | $57.19 | 2.07x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 609 | $196.0K | $321.84 | 3.23x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.4K | $150.9K | $107.99 | 2.55x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.1K | $114.7K | $54.65 | 1.47x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 608 | $95.3K | $156.67 | 2.62x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 459 | $57.0K | $124.19 | 2.13x |
| 94729 | Measurement of lung diffusing capacity | 1.3K | $53.9K | $41.94 | 3.18x |
| 94726 | Determination of lung volumes using plethysmography | 1.3K | $52.4K | $40.43 | 4.71x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 958 | $42.9K | $44.75 | 2.79x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 189 | $19.6K | $103.65 | 2.56x |
| 71250 | CT scan chest | 244 | $19.5K | $79.99 | 7.13x |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 178 | $15.2K | $85.50 | 4.99x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 122 | $13.2K | $107.83 | 6.71x |
| 94620 | Pulmonary exercise testing | 292 | $12.4K | $42.54 | 2.82x |
| 94010 | Measurement and graphic recording of total and timed exhaled air capacity | 490 | $10.9K | $22.28 | 4.25x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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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