This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 57% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% 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 | $141.24 | $77.17 | 1.83x | $64.07 | $330.3K | 4.1K | 1.9K |
| 2015 | $142.90 | $79.24 | 1.80x | $63.66 | $450.0K | 5.7K | 2.0K |
| 2016 | $144.07 | $82.95 | 1.74x | $61.12 | $436.6K | 5.5K | 2.3K |
| 2017 | $159.36 | $93.18 | 1.71x | $66.18 | $402.4K | 4.8K | 2.6K |
| 2018 | $143.88 | $87.36 | 1.65x | $56.52 | $352.3K | 3.5K | 2.6K |
| 2019 | $140.63 | $91.52 | 1.54x | $49.11 | $372.2K | 3.7K | 2.8K |
| 2020 | $130.79 | $79.21 | 1.65x | $51.58 | $352.4K | 3.8K | 2.6K |
| 2021 | $132.40 | $84.02 | 1.58x | $48.38 | $533.8K | 5.5K | 3.6K |
| 2022 | $127.65 | $77.50 | 1.65x | $50.15 | $444.1K | 4.9K | 3.2K |
| 2023 | $138.53 | $98.65 | 1.40x | $39.88 | $517.2K | 4.7K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 15.8K | $2.1M | $130.49 | 1.42x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 25.7K | $1.8M | $69.92 | 1.82x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 1.1K | $114.5K | $106.23 | 1.55x |
| 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 imple | 1.0K | $41.6K | $41.28 | 1.95x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 387 | $38.1K | $98.39 | 1.61x |
| 99318 | Nursing facility annual assessment, typically 30 minutes | 510 | $36.1K | $70.78 | 1.95x |
| 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 im | 977 | $30.8K | $31.54 | 3.16x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 169 | $21.2K | $125.36 | 1.25x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 323 | $17.1K | $52.87 | 1.88x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 90 | $15.5K | $172.60 | 1.31x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 130 | $11.1K | $85.17 | 1.56x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 58 | $6.0K | $104.15 | 1.44x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 13 | $658.95 | $50.69 | 2.71x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. 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.
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