This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $315.19 | $65.00 | 4.85x | $250.19 | $320.5K | 4.6K | 3.0K |
| 2015 | $364.51 | $72.21 | 5.05x | $292.30 | $360.9K | 5.1K | 3.1K |
| 2016 | $319.40 | $67.42 | 4.74x | $251.98 | $412.7K | 5.7K | 3.6K |
| 2017 | $325.59 | $69.60 | 4.68x | $255.99 | $456.2K | 6.2K | 4.0K |
| 2018 | $331.98 | $69.08 | 4.81x | $262.90 | $455.9K | 6.3K | 4.0K |
| 2019 | $292.97 | $68.05 | 4.31x | $224.92 | $427.7K | 6.2K | 3.8K |
| 2020 | $329.68 | $64.30 | 5.13x | $265.38 | $425.9K | 6.4K | 3.4K |
| 2021 | $267.76 | $56.05 | 4.78x | $211.71 | $454.0K | 7.2K | 3.9K |
| 2022 | $232.13 | $59.99 | 3.87x | $172.14 | $423.2K | 6.9K | 3.5K |
| 2023 | $242.24 | $60.31 | 4.02x | $181.93 | $334.2K | 5.3K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 28.7K | $1.6M | $56.62 | 3.74x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 6.5K | $1.0M | $155.15 | 3.87x |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.9K | $448.5K | $56.65 | 3.76x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.1K | $227.2K | $106.65 | 3.86x |
| 99220 | Hospital observation care typically 70 minutes per day | 1.4K | $206.7K | $143.43 | 3.75x |
| 99219 | Hospital observation care typically 50 minutes | 1.3K | $139.8K | $105.28 | 3.76x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.2K | $97.4K | $81.41 | 3.78x |
| 99217 | Hospital observation care discharge | 1.1K | $63.2K | $56.01 | 3.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.1K | $57.2K | $11.18 | 11.05x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.3K | $39.8K | $31.69 | 4.36x |
| 99225 | Subsequent observation care, typically 25 minutes per day | 672 | $38.1K | $56.63 | 3.72x |
| 99235 | Hospital observation or inpatient care moderate severity, 50 minutes per day' | 243 | $31.9K | $131.19 | 3.87x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 107 | $19.0K | $177.26 | 5.23x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time per calendar month | 406 | $17.2K | $42.44 | 2.06x |
| 90662 | Vaccine for influenza for injection into muscle | 181 | $8.5K | $46.73 | 1.01x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 94 | $8.1K | $86.02 | 17.50x |
| 94729 | Measurement of lung diffusing capacity | 131 | $5.2K | $39.98 | 4.68x |
| 94726 | Determination of lung volumes using plethysmography | 128 | $4.9K | $38.41 | 4.94x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 181 | $4.6K | $25.64 | 4.34x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 46 | $3.7K | $80.77 | 5.47x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. 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.
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