This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Infectious Disease 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 | $91.02 | $60.38 | 1.51x | $30.64 | $531.2K | 12.7K | 1.9K |
| 2015 | $93.49 | $65.60 | 1.43x | $27.89 | $504.8K | 11.1K | 1.8K |
| 2016 | $105.32 | $64.39 | 1.64x | $40.93 | $386.4K | 9.6K | 1.4K |
| 2017 | $102.60 | $65.11 | 1.58x | $37.49 | $293.3K | 7.1K | 1.1K |
| 2018 | $99.08 | $58.41 | 1.70x | $40.67 | $337.9K | 9.1K | 1.2K |
| 2019 | $99.17 | $63.04 | 1.57x | $36.13 | $309.8K | 8.1K | 1.1K |
| 2020 | $88.50 | $62.40 | 1.42x | $26.10 | $371.4K | 10.1K | 1.1K |
| 2021 | $88.57 | $63.17 | 1.40x | $25.40 | $327.8K | 8.1K | 1.0K |
| 2022 | $92.17 | $63.47 | 1.45x | $28.70 | $343.2K | 8.2K | 1.1K |
| 2023 | $98.33 | $62.03 | 1.59x | $36.30 | $289.7K | 7.3K | 921 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 21.1K | $1.3M | $64.01 | 1.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.1K | $680.6K | $95.51 | 1.54x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.4K | $389.7K | $88.43 | 1.44x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 9.2K | $253.8K | $27.66 | 2.07x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $224.0K | $168.30 | 1.46x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 7.4K | $132.2K | $17.93 | 2.77x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 665 | $118.2K | $177.70 | 1.53x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 788 | $104.3K | $132.31 | 1.48x |
| J1335 | Injection, ertapenem sodium, 500 mg | 3.6K | $95.4K | $26.43 | 1.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $79.6K | $64.57 | 1.46x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.0K | $63.2K | $61.65 | 1.44x |
| 29580 | Strapping, Unna boot | 861 | $44.6K | $51.79 | 1.37x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 351 | $38.0K | $108.14 | 1.45x |
| J3370 | Injection, vancomycin hcl, 500 mg | 11.8K | $27.0K | $2.29 | 4.77x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 163 | $22.8K | $140.03 | 1.47x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 186 | $21.5K | $115.34 | 1.47x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 246 | $19.0K | $77.26 | 1.40x |
| 36415 | Insertion of needle into vein for collection of blood sample | 3.8K | $11.4K | $3.03 | 1.39x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 116 | $6.8K | $58.28 | 1.41x |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 10.6K | $4.9K | $0.46 | 9.78x |
This provider submits charges 1.71 times higher than what Medicare actually pays.
A markup ratio of 1.71x means for every $100 Medicare pays, this provider initially charges $171. 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