This provider's $5.3M in total Medicare payments ranks in the 99th percentile of General Surgery 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 | $555.04 | $210.03 | 2.64x | $345.01 | $489.6K | 7.2K | 4.9K |
| 2015 | $535.66 | $166.56 | 3.22x | $369.10 | $448.8K | 6.2K | 4.2K |
| 2016 | $926.25 | $310.68 | 2.98x | $615.57 | $488.1K | 6.3K | 4.3K |
| 2017 | $467.72 | $159.26 | 2.94x | $308.46 | $423.0K | 5.4K | 3.4K |
| 2018 | $1.1K | $388.52 | 2.81x | $702.56 | $515.9K | 5.8K | 3.6K |
| 2019 | $948.25 | $320.64 | 2.96x | $627.61 | $594.0K | 6.7K | 4.3K |
| 2020 | $499.70 | $171.27 | 2.92x | $328.43 | $522.6K | 6.8K | 4.5K |
| 2021 | $915.19 | $324.79 | 2.82x | $590.40 | $602.2K | 7.0K | 4.5K |
| 2022 | $550.50 | $159.95 | 3.44x | $390.55 | $588.9K | 7.2K | 4.8K |
| 2023 | $538.45 | $156.73 | 3.44x | $381.72 | $610.2K | 7.0K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 76641 | Ultrasound of one breast | 14.8K | $1.3M | $84.79 | 3.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.0K | $1.1M | $55.88 | 1.63x |
| 77066 | Mammography of both breasts | 5.0K | $570.0K | $114.49 | 2.80x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 2.7K | $313.1K | $114.39 | 2.80x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $311.1K | $89.29 | 1.66x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 4.6K | $186.1K | $40.37 | 1.86x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 298 | $180.6K | $606.03 | 2.43x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 344 | $163.7K | $475.78 | 3.10x |
| 19296 | Insertion of catheter into breast for radiation therapy using imaging guidance | 54 | $160.3K | $3.0K | 2.69x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 896 | $138.0K | $154.03 | 1.62x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 269 | $129.4K | $480.93 | 3.13x |
| 76604 | Ultrasound of chest | 2.1K | $124.3K | $59.18 | 4.55x |
| 76882 | Ultrasound of arm or leg | 3.7K | $122.7K | $33.47 | 3.76x |
| 76645 | Ultrasound of breasts | 1.6K | $118.3K | $72.73 | 2.33x |
| 77065 | Mammography of one breast | 1.2K | $111.8K | $94.77 | 3.27x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 865 | $79.5K | $91.86 | 3.37x |
| 76642 | Ultrasound of one breast | 686 | $44.8K | $65.36 | 4.28x |
| 19301 | Partial removal of breast | 155 | $44.6K | $287.85 | 4.67x |
| 77067 | Mammography of both breasts | 324 | $42.4K | $130.94 | 2.29x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 281 | $36.2K | $128.99 | 2.12x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. 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