This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Hospitalist providers nationally.
Medicare payments to this provider grew 2224% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 190% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $265.00 | $137.85 | 1.92x | $127.15 | $26.8K | 159 | 112 |
| 2016 | $260.00 | $135.51 | 1.92x | $124.49 | $77.6K | 461 | 300 |
| 2017 | $229.04 | $124.79 | 1.84x | $104.25 | $106.8K | 650 | 390 |
| 2018 | $202.85 | $101.98 | 1.99x | $100.87 | $207.1K | 1.7K | 565 |
| 2019 | $212.26 | $104.51 | 2.03x | $107.75 | $412.4K | 3.2K | 934 |
| 2020 | $205.01 | $105.02 | 1.95x | $99.99 | $694.2K | 5.7K | 1.1K |
| 2021 | $202.33 | $105.07 | 1.93x | $97.26 | $724.8K | 6.3K | 895 |
| 2022 | $209.08 | $88.68 | 2.36x | $120.40 | $764.2K | 6.8K | 861 |
| 2023 | $209.11 | $66.06 | 3.17x | $143.05 | $622.1K | 5.4K | 851 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 18.8K | $1.7M | $91.88 | 1.99x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 8.8K | $1.6M | $187.21 | 2.12x |
| 99292 | Critical care delivery critically ill or injured patient | 906 | $85.7K | $94.57 | 1.95x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 384 | $63.8K | $166.12 | 2.04x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 336 | $25.1K | $74.84 | 2.41x |
| 92950 | Attempt to restart heart and lungs | 133 | $21.2K | $159.17 | 1.91x |
| 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 152 | $18.4K | $121.15 | 1.85x |
| 36800 | Insertion of external tube from vein to vein for dialysis | 133 | $13.8K | $104.09 | 1.95x |
| 32555 | Removal of fluid from chest cavity with imaging guidance | 112 | $10.6K | $94.64 | 3.94x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 60 | $6.3K | $105.67 | 2.26x |
| 99239 | Hospital discharge day management, more than 30 minutes | 38 | $3.6K | $95.18 | 2.03x |
| 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 77 | $2.9K | $37.90 | 2.16x |
| 76937 | Ultrasound guidance for accessing into blood vessel | 223 | $2.7K | $12.07 | 2.18x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 28 | $1.7K | $61.93 | 1.86x |
| 94375 | Test to measure rate of airflow | 111 | $1.4K | $12.24 | 2.86x |
| 94200 | Test to measure largest amount of air breathed in an out | 113 | $259.21 | $2.29 | 4.36x |
| 94726 | Test to determine lung volumes using sensors | 12 | $121.80 | $10.15 | 2.96x |
| 94729 | Test to examine how well the lungs exchange gases | 12 | $90.12 | $7.51 | 2.66x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. This is higher 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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