Statistical flag only — not an accusation of fraud
This provider's $124.4K in total Medicare payments ranks in the 94th percentile of Obstetrics & Gynecology providers nationally.
Their average markup ratio of 49.46x is significantly above the specialty median of 3.1x.
Medicare payments to this provider grew 77% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 70/100. Statistical flags are not accusations of fraud.
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 | $1.3K | $26.31 | 49.46x | $1.3K | $8.7K | 331 | 86 |
| 2015 | $1.3K | $26.26 | 49.46x | $1.3K | $9.5K | 360 | 93 |
| 2016 | $1.3K | $26.29 | 49.46x | $1.3K | $10.2K | 388 | 101 |
| 2017 | $1.3K | $26.31 | 49.46x | $1.3K | $10.9K | 416 | 108 |
| 2018 | $1.3K | $26.28 | 49.46x | $1.3K | $11.7K | 445 | 115 |
| 2019 | $1.3K | $26.30 | 49.46x | $1.3K | $12.4K | 473 | 123 |
| 2020 | $1.3K | $26.32 | 49.46x | $1.3K | $13.2K | 501 | 130 |
| 2021 | $1.3K | $26.29 | 49.46x | $1.3K | $13.9K | 530 | 137 |
| 2022 | $1.3K | $26.30 | 49.46x | $1.3K | $14.7K | 558 | 145 |
| 2023 | $1.3K | $26.28 | 49.46x | $1.3K | $15.4K | 587 | 152 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, est patient, low | 1.6K | $42.5K | $26.30 | 51.44x |
| 99214 | Office/outpatient visit, est patient, moderate | 808 | $21.2K | $26.28 | 47.17x |
| 99215 | Office/outpatient visit, est patient, high | 538 | $14.2K | $26.31 | 44.15x |
| 99223 | Initial hospital care, high complexity | 404 | $10.6K | $26.28 | 43.81x |
| 99232 | Subsequent hospital care, moderate | 323 | $8.5K | $26.30 | 55.33x |
| 93000 | Electrocardiogram, complete | 269 | $7.1K | $26.31 | 46.12x |
| 71046 | Chest X-ray, 2 views | 231 | $6.1K | $26.26 | 48.65x |
| 80053 | Comprehensive metabolic panel | 202 | $5.3K | $26.28 | 58.32x |
| 85025 | Complete blood count (CBC) | 179 | $4.7K | $26.36 | 44.20x |
| 36415 | Venipuncture | 162 | $4.2K | $26.22 | 42.51x |
This provider submits charges 49.46 times higher than what Medicare actually pays.
A markup ratio of 49.46x means for every $100 Medicare pays, this provider initially charges $4946. 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.
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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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