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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Manjulatha Badam
⚕️
MDIndividual

Manjulatha Badam, MD

NPI: 1417013368
San Antonio, TX
10 years of data
Undersea and Hyperbaric Medicine
$11.4M
Total Payments
93
Beneficiaries
44.6K
Services
2.35x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$11.4M
Specialty median$116.8K

📋 Key Findings

1Billed $11.4M over 10 years
22.35x markup ratio (above median)
399th percentile in Undersea and Hyperbaric Medicine by payments
4Payments surged 50280% in 2021
514 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $11.4M in total Medicare payments ranks in the 99th percentile of Undersea and Hyperbaric Medicine providers nationally.

Medicare payments to this provider grew 4535% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 50280% in 2021

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$284.28$75.333.77x$208.95$63.4K8428
2015$282.26$72.763.88x$209.50$45.3K6226
2016$271.91$69.173.93x$202.74$59.3K85810
2017$265.59$68.123.90x$197.47$54.8K80512
2018$283.74$72.583.91x$211.16$64.4K88711
2019$200.27$46.244.33x$154.03$29.5K6389
2020$166.67$42.263.94x$124.41$2.8K662
2021$1.2K$745.871.66x$492.48$1.4M1.9K5
2022$569.35$240.482.37x$328.87$6.7M28.0K17
2023$728.87$295.732.46x$433.14$2.9M9.9K13

Top Procedures (20)

Q4197Puraply xt, per square centimeter
$3.6M
16.5K services$215.43/svc2.41x markup
Q4132Grafix core and grafixpl core, per square centimeter
$2.5M
6.9K services$359.77/svc1.58x markup
Q4159Affinity, per square centimeter
$2.0M
3.3K services$623.16/svc1.77x markup
A2001Innovamatrix ac, per square centimeter
$940.6K
1.2K services$807.37/svc1.61x markup
Q4194Novachor, per square centimeter
$849.5K
1.0K services$812.89/svc2.07x markup
G0277Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval⚠ 5.2x markup
$748.0K
5.6K services$132.54/svc5.19x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.7x markup
$129.3K
2.3K services$56.58/svc3.74x markup
99183Management of oxygen chamber therapy⚠ 5.1x markup
$114.5K
1.4K services$81.02/svc5.12x markup
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less⚠ 5.0x markup
$85.6K
736 services$116.28/svc5.05x markup
15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less⚠ 5.1x markup
$69.3K
564 services$122.81/svc5.12x markup
99214Established patient office or other outpatient visit, 30-39 minutes⚠ 5.1x markup
$68.3K
713 services$95.78/svc5.08x markup
Q4133Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
$64.0K
603 services$106.19/svc2.04x markup
99223Initial hospital inpatient care, typically 70 minutes per day⚠ 3.9x markup
$63.3K
416 services$152.12/svc3.87x markup
99213Established patient office or other outpatient visit, 20-29 minutes⚠ 4.8x markup
$47.8K
879 services$54.40/svc4.78x markup
99239Hospital discharge day management, more than 30 minutes⚠ 3.7x markup
$30.1K
361 services$83.26/svc3.72x markup
99212Established patient office or other outpatient visit, 10-19 minutes⚠ 5.7x markup
$23.7K
710 services$33.39/svc5.68x markup
11042Removal of skin and tissue, 20.0 sq cm or less⚠ 5.6x markup
$21.2K
394 services$53.82/svc5.61x markup
99220Hospital observation care, typically 70 minutes⚠ 3.8x markup
$16.1K
114 services$140.93/svc3.80x markup
99236Hospital observation or inpatient care high severity, 55 minutes per day⚠ 3.8x markup
$15.0K
89 services$168.51/svc3.79x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day⚠ 3.7x markup
$13.4K
163 services$82.34/svc3.67x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
Q4197Puraply xt, per square centimeter16.5K$3.6M$215.432.41x
Q4132Grafix core and grafixpl core, per square centimeter6.9K$2.5M$359.771.58x
Q4159Affinity, per square centimeter3.3K$2.0M$623.161.77x
A2001Innovamatrix ac, per square centimeter1.2K$940.6K$807.371.61x
Q4194Novachor, per square centimeter1.0K$849.5K$812.892.07x
G0277Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval5.6K$748.0K$132.545.19x
99232Subsequent hospital inpatient care, typically 25 minutes per day2.3K$129.3K$56.583.74x
99183Management of oxygen chamber therapy1.4K$114.5K$81.025.12x
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less736$85.6K$116.285.05x
15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less564$69.3K$122.815.12x
99214Established patient office or other outpatient visit, 30-39 minutes713$68.3K$95.785.08x
Q4133Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter603$64.0K$106.192.04x
99223Initial hospital inpatient care, typically 70 minutes per day416$63.3K$152.123.87x
99213Established patient office or other outpatient visit, 20-29 minutes879$47.8K$54.404.78x
99239Hospital discharge day management, more than 30 minutes361$30.1K$83.263.72x
99212Established patient office or other outpatient visit, 10-19 minutes710$23.7K$33.395.68x
11042Removal of skin and tissue, 20.0 sq cm or less394$21.2K$53.825.61x
99220Hospital observation care, typically 70 minutes114$16.1K$140.933.80x
99236Hospital observation or inpatient care high severity, 55 minutes per day89$15.0K$168.513.79x
99233Subsequent hospital inpatient care, typically 35 minutes per day163$13.4K$82.343.67x

Markup Analysis

Charge-to-Payment Ratio

2.35x

This provider submits charges 2.35 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.35x means for every $100 Medicare pays, this provider initially charges $235. This is higher than the national average.

Location

San Antonio, TX

Provider Verification

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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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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