This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Medicare payments to this provider grew 73% from 2014 to 2023.
64% of their billing comes from a single procedure code (99232 — Subsequent hospital inpatient care, typically 25 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2016
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 | $62.72 | $40.87 | 1.53x | $21.85 | $237.4K | 4.4K | 2.0K |
| 2015 | $67.08 | $42.34 | 1.58x | $24.74 | $269.4K | 4.8K | 1.6K |
| 2016 | $110.47 | $56.77 | 1.95x | $53.70 | $442.4K | 7.4K | 2.2K |
| 2017 | $139.00 | $66.55 | 2.09x | $72.45 | $513.7K | 8.2K | 2.3K |
| 2018 | $146.70 | $69.88 | 2.10x | $76.82 | $463.9K | 7.4K | 2.4K |
| 2019 | $96.92 | $65.64 | 1.48x | $31.28 | $452.2K | 6.9K | 2.3K |
| 2020 | $106.70 | $73.58 | 1.45x | $33.12 | $323.8K | 5.2K | 1.8K |
| 2021 | $133.69 | $78.04 | 1.71x | $55.65 | $387.0K | 6.0K | 1.9K |
| 2022 | $156.55 | $84.35 | 1.86x | $72.20 | $317.7K | 5.5K | 1.7K |
| 2023 | $174.81 | $64.43 | 2.71x | $110.38 | $409.6K | 5.8K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 38.0K | $2.4M | $64.20 | 1.74x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.1K | $454.8K | $88.91 | 1.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.8K | $357.8K | $93.06 | 1.80x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 7.4K | $272.1K | $36.83 | 1.73x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 1.5K | $133.5K | $86.31 | 1.92x |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | 490 | $60.5K | $123.43 | 2.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 320 | $45.8K | $143.16 | 1.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 306 | $18.9K | $61.93 | 1.64x |
| 36415 | Insertion of needle into vein for collection of blood sample | 3.6K | $12.5K | $3.44 | 2.03x |
| 95250 | Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours | 63 | $8.9K | $141.82 | 3.53x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 262 | $4.7K | $17.88 | 1.96x |
| 83036 | Hemoglobin A1C level | 312 | $4.0K | $12.97 | 2.31x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 85 | $2.8K | $32.96 | 3.24x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 39 | $605.17 | $15.52 | 1.61x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 41 | $567.08 | $13.83 | 2.94x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 67 | $463.20 | $6.91 | 2.17x |
| G0008 | Administration of influenza virus vaccine | 14 | $413.00 | $29.50 | 1.19x |
| J0897 | Injection, denosumab, 1 mg | 22 | $409.46 | $18.61 | 2.69x |
| 82044 | Urine microalbumin (protein) analysis | 66 | $267.74 | $4.06 | 2.47x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12 | $176.77 | $14.73 | 4.75x |
This provider submits charges 1.73 times higher than what Medicare actually pays.
A markup ratio of 1.73x means for every $100 Medicare pays, this provider initially charges $173. This is lower than the national average.
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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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