This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 55% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2019
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 | $138.52 | $41.03 | 3.38x | $97.49 | $384.8K | 15.0K | 10.3K |
| 2015 | $138.03 | $37.44 | 3.69x | $100.59 | $332.0K | 11.7K | 7.9K |
| 2016 | $126.53 | $39.06 | 3.24x | $87.47 | $341.7K | 11.3K | 7.8K |
| 2017 | $136.82 | $39.43 | 3.47x | $97.39 | $347.0K | 10.9K | 7.3K |
| 2018 | $122.05 | $35.93 | 3.40x | $86.12 | $331.1K | 11.1K | 7.2K |
| 2019 | $136.71 | $55.15 | 2.48x | $81.56 | $622.2K | 12.7K | 9.4K |
| 2020 | $132.32 | $54.35 | 2.43x | $77.97 | $511.4K | 10.8K | 8.3K |
| 2021 | $128.52 | $56.96 | 2.26x | $71.56 | $615.3K | 12.0K | 9.0K |
| 2022 | $117.59 | $52.62 | 2.23x | $64.97 | $667.8K | 12.7K | 9.3K |
| 2023 | $128.80 | $57.42 | 2.24x | $71.38 | $596.3K | 11.4K | 8.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 26.9K | $1.1M | $41.62 | 3.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.6K | $569.1K | $100.84 | 2.48x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.0K | $444.6K | $149.19 | 2.01x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 4.3K | $410.4K | $95.69 | 2.64x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 5.0K | $254.9K | $50.86 | 3.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.0K | $254.6K | $63.17 | 3.15x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.3K | $246.0K | $196.80 | 1.52x |
| 90662 | Vaccine for influenza for injection into muscle | 3.3K | $188.1K | $56.66 | 1.36x |
| 76775 | Ultrasound behind abdominal cavity, limited | 2.9K | $159.7K | $55.02 | 4.11x |
| G0008 | Administration of influenza virus vaccine | 4.5K | $115.2K | $25.86 | 1.58x |
| 93278 | Recording to evaluate height and duration of heart beats through damaged heart tissue | 4.1K | $113.5K | $28.01 | 4.79x |
| 71046 | X-ray of chest, 2 views | 3.2K | $99.3K | $30.59 | 2.70x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.7K | $93.0K | $13.89 | 7.11x |
| 92552 | Pure tone air conduction threshold hearing assessment | 3.2K | $89.7K | $28.15 | 2.34x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 5.0K | $84.9K | $17.03 | 2.98x |
| 93040 | Tracing of electrical activity of heart using 1-3 leads with interpretation and report | 6.7K | $69.1K | $10.37 | 3.84x |
| 71020 | X-ray of chest, 2 views, front and side | 2.2K | $56.2K | $25.66 | 3.51x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 539 | $50.0K | $92.68 | 2.80x |
| 36415 | Insertion of needle into vein for collection of blood sample | 11.2K | $38.5K | $3.43 | 9.55x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 737 | $37.3K | $50.68 | 1.97x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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