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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Elwin Bustos
⚕️
MDIndividual

Elwin Bustos, MD

NPI: 1467543686
Washington, DC
10 years of data
Nephrology
$4.0M
Total Payments
10.2K
Beneficiaries
27.0K
Services
2.3x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.0M
Specialty median$185.2K

📋 Key Findings

1Billed $4.0M over 10 years
22.3x markup ratio (above median)
398th percentile in Nephrology by payments
46 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.0M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$267.81$97.662.74x$170.15$414.2K3.3K1.3K
2015$280.67$100.142.80x$180.53$393.1K3.1K1.3K
2016$287.26$98.282.92x$188.98$442.8K3.4K1.3K
2017$318.64$106.402.99x$212.24$407.0K3.2K1.2K
2018$318.53$110.992.87x$207.54$449.9K3.2K1.2K
2019$243.40$96.962.51x$146.44$415.2K2.9K1.2K
2020$248.02$113.632.18x$134.39$395.4K2.4K962
2021$297.22$161.581.84x$135.64$421.9K2.1K677
2022$287.50$151.861.89x$135.64$345.7K1.8K619
2023$275.00$138.871.98x$136.13$305.0K1.6K591

Top Procedures (18)

90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older
$1.4M
6.5K services$220.58/svc2.04x markup
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older
$1.2M
4.5K services$257.46/svc2.18x markup
90962Dialysis services (1 physician visit per month), patient 20 years of age and older
$559.4K
3.5K services$161.03/svc1.86x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$385.3K
4.5K services$85.02/svc2.35x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.3x markup
$163.9K
2.7K services$61.33/svc3.26x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$68.9K
1.2K services$57.86/svc2.59x markup
90935Hemodialysis procedure with one physician evaluation⚠ 10.1x markup
$65.1K
1.1K services$61.56/svc10.10x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$46.2K
401 services$115.29/svc2.17x markup
99204New patient office or other outpatient visit, typically 45 minutes
$31.5K
230 services$136.77/svc2.19x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$27.1K
158 services$171.54/svc2.19x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$21.6K
247 services$87.62/svc2.57x markup
99239Hospital discharge day management, more than 30 minutes
$6.2K
67 services$92.01/svc2.72x markup
36415Insertion of needle into vein for collection of blood sample⚠ 10.2x markup
$5.1K
1.7K services$2.94/svc10.20x markup
99215Established patient office or other outpatient visit, 40-54 minutes
$1.9K
18 services$102.90/svc2.67x markup
G0008Administration of influenza virus vaccine
$1.7K
65 services$26.25/svc2.42x markup
Q2037Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)⚠ 4.1x markup
$665.05
43 services$15.47/svc4.06x markup
90674Vaccine for influenza for administration into muscle, 0.5 ml dosage⚠ 3.6x markup
$468.69
17 services$27.57/svc3.63x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 7.7x markup
$166.54
17 services$9.80/svc7.66x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older6.5K$1.4M$220.582.04x
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older4.5K$1.2M$257.462.18x
90962Dialysis services (1 physician visit per month), patient 20 years of age and older3.5K$559.4K$161.031.86x
99214Established patient office or other outpatient, visit typically 25 minutes4.5K$385.3K$85.022.35x
99232Subsequent hospital inpatient care, typically 25 minutes per day2.7K$163.9K$61.333.26x
99213Established patient office or other outpatient visit, typically 15 minutes1.2K$68.9K$57.862.59x
90935Hemodialysis procedure with one physician evaluation1.1K$65.1K$61.5610.10x
99222Initial hospital inpatient care, typically 50 minutes per day401$46.2K$115.292.17x
99204New patient office or other outpatient visit, typically 45 minutes230$31.5K$136.772.19x
99223Initial hospital inpatient care, typically 70 minutes per day158$27.1K$171.542.19x
99233Subsequent hospital inpatient care, typically 35 minutes per day247$21.6K$87.622.57x
99239Hospital discharge day management, more than 30 minutes67$6.2K$92.012.72x
36415Insertion of needle into vein for collection of blood sample1.7K$5.1K$2.9410.20x
99215Established patient office or other outpatient visit, 40-54 minutes18$1.9K$102.902.67x
G0008Administration of influenza virus vaccine65$1.7K$26.252.42x
Q2037Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)43$665.05$15.474.06x
90674Vaccine for influenza for administration into muscle, 0.5 ml dosage17$468.69$27.573.63x
93000Routine EKG using at least 12 leads including interpretation and report17$166.54$9.807.66x

Markup Analysis

Charge-to-Payment Ratio

2.3x

This provider submits charges 2.3 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.3x means for every $100 Medicare pays, this provider initially charges $230. This is higher than the national average.

Location

Washington, DC

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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