This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Medicare payments to this provider grew 518% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% 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 | $294.21 | $93.60 | 3.14x | $200.61 | $145.7K | 2.2K | 1.3K |
| 2015 | $287.63 | $90.18 | 3.19x | $197.45 | $157.2K | 2.7K | 1.4K |
| 2016 | $256.46 | $77.81 | 3.30x | $178.65 | $164.0K | 2.9K | 1.6K |
| 2017 | $240.22 | $70.63 | 3.40x | $169.59 | $210.7K | 4.1K | 2.3K |
| 2018 | $200.83 | $58.59 | 3.43x | $142.24 | $217.0K | 4.6K | 2.7K |
| 2019 | $211.70 | $60.15 | 3.52x | $151.55 | $363.2K | 7.3K | 4.0K |
| 2020 | $143.69 | $50.66 | 2.84x | $93.03 | $411.2K | 12.3K | 8.0K |
| 2021 | $166.94 | $62.09 | 2.69x | $104.85 | $618.4K | 20.6K | 11.6K |
| 2022 | $180.95 | $62.17 | 2.91x | $118.78 | $694.3K | 21.9K | 11.6K |
| 2023 | $172.87 | $59.72 | 2.89x | $113.15 | $899.9K | 23.2K | 12.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $646.6K | $100.11 | 2.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.3K | $615.9K | $66.14 | 3.34x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 8.2K | $365.1K | $44.68 | 2.45x |
| 99457 | Remote monitoring of physiologic parameters management services, 20 minutes or more of qualified health care professional time per calendar month | 6.2K | $272.9K | $44.14 | 3.40x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 3.7K | $185.8K | $50.11 | 2.99x |
| 76536 | Ultrasound of head and neck | 1.4K | $147.5K | $104.58 | 3.09x |
| 95250 | Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours | 977 | $140.1K | $143.42 | 3.05x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 709 | $126.4K | $178.28 | 2.87x |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 2.3K | $115.0K | $49.36 | 2.64x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 734 | $104.8K | $142.79 | 2.92x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 2.4K | $75.7K | $31.94 | 3.33x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 4.1K | $68.3K | $16.63 | 3.41x |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 767 | $56.1K | $73.17 | 2.53x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 816 | $52.6K | $64.47 | 2.70x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 3.2K | $41.9K | $13.22 | 3.43x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 807 | $37.6K | $46.57 | 2.62x |
| 84439 | Thyroxine (thyroid chemical) measurement | 4.1K | $36.5K | $8.91 | 3.43x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 283 | $35.7K | $126.08 | 5.41x |
| 83036 | Hemoglobin A1C level | 3.6K | $35.4K | $9.74 | 5.13x |
| 82306 | Vitamin d-3 level | 1.2K | $35.1K | $29.24 | 2.16x |
This provider submits charges 3.12 times higher than what Medicare actually pays.
A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. 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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