This provider's $4.8M in total Medicare payments ranks in the 98th percentile of Nephrology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2023
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 | $200.13 | $76.02 | 2.63x | $124.11 | $420.2K | 8.0K | 2.9K |
| 2015 | $366.27 | $123.13 | 2.97x | $243.14 | $509.1K | 6.7K | 2.8K |
| 2016 | $352.10 | $109.37 | 3.22x | $242.73 | $576.6K | 9.1K | 3.5K |
| 2017 | $402.53 | $112.21 | 3.59x | $290.32 | $594.3K | 8.7K | 3.5K |
| 2018 | $266.20 | $70.10 | 3.80x | $196.10 | $547.9K | 10.5K | 3.5K |
| 2019 | $303.09 | $86.39 | 3.51x | $216.70 | $498.3K | 7.5K | 3.0K |
| 2020 | $530.34 | $149.31 | 3.55x | $381.03 | $481.4K | 4.9K | 1.8K |
| 2021 | $582.77 | $168.83 | 3.45x | $413.94 | $448.7K | 4.1K | 1.4K |
| 2022 | $599.56 | $169.01 | 3.55x | $430.55 | $279.6K | 2.2K | 831 |
| 2023 | $634.30 | $179.70 | 3.53x | $454.60 | $423.2K | 2.9K | 830 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2507 | Injection, pegloticase, 1 mg | 221 | $529.1K | $2.4K | 3.34x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $334.4K | $77.65 | 3.30x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.9K | $272.0K | $146.53 | 3.26x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.6K | $246.9K | $156.16 | 3.75x |
| 76536 | Ultrasound of head and neck | 2.6K | $242.9K | $91.86 | 3.40x |
| 76700 | Ultrasound of abdomen | 2.3K | $217.0K | $96.43 | 3.74x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $200.3K | $152.80 | 3.21x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 999 | $194.0K | $194.21 | 3.63x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.6K | $172.6K | $110.44 | 4.69x |
| 76856 | Ultrasound of pelvis | 1.8K | $140.9K | $79.29 | 4.00x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 569 | $137.2K | $241.05 | 2.29x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.4K | $130.7K | $92.82 | 4.14x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 557 | $122.3K | $219.60 | 2.93x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 2.9K | $106.2K | $36.39 | 3.92x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 586 | $104.2K | $177.86 | 2.25x |
| 76872 | Ultrasound of rectum | 1.1K | $97.8K | $87.09 | 2.73x |
| 76604 | Ultrasound of chest | 1.7K | $97.1K | $57.93 | 3.93x |
| 36147 | Insertion of needle and/or catheter for dialysis | 142 | $92.1K | $648.82 | 3.30x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 1.3K | $87.8K | $68.93 | 3.31x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 132 | $81.3K | $615.96 | 3.30x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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