This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Allergy/ Immunology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $114.88 | $55.04 | 2.09x | $59.84 | $276.4K | 7.3K | 1.7K |
| 2015 | $106.47 | $51.41 | 2.07x | $55.06 | $317.2K | 8.3K | 2.1K |
| 2016 | $77.59 | $48.65 | 1.59x | $28.94 | $336.7K | 9.4K | 2.3K |
| 2017 | $104.55 | $59.97 | 1.74x | $44.58 | $340.2K | 8.9K | 2.2K |
| 2018 | $100.98 | $57.10 | 1.77x | $43.88 | $339.6K | 9.1K | 2.3K |
| 2019 | $98.43 | $59.61 | 1.65x | $38.82 | $382.0K | 9.6K | 2.5K |
| 2020 | $97.50 | $56.37 | 1.73x | $41.13 | $358.1K | 8.7K | 2.3K |
| 2021 | $103.19 | $63.86 | 1.62x | $39.33 | $350.2K | 8.7K | 2.2K |
| 2022 | $100.13 | $59.18 | 1.69x | $40.95 | $346.5K | 8.9K | 2.5K |
| 2023 | $95.82 | $55.27 | 1.73x | $40.55 | $318.5K | 8.6K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 76536 | Ultrasound of head and neck | 9.5K | $970.5K | $101.79 | 1.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.5K | $809.4K | $84.95 | 1.38x |
| 95117 | Injection of incremental dosages of allergen, 2 or more injections | 33.0K | $298.1K | $9.03 | 3.32x |
| 94010 | Measurement and graphic recording of total and timed exhaled air capacity | 9.6K | $286.9K | $29.96 | 2.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $256.5K | $58.89 | 1.53x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.7K | $191.1K | $113.34 | 1.32x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 962 | $123.7K | $128.57 | 1.40x |
| 95180 | Rapid desensitization procedure, each hour | 947 | $110.8K | $117.01 | 1.54x |
| 95165 | Preparation and provision of single or multiple antigens for allergen immunotherapy | 8.7K | $110.0K | $12.68 | 1.58x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 1.2K | $60.7K | $51.36 | 2.24x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 214 | $38.2K | $178.50 | 2.21x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 222 | $18.9K | $85.17 | 1.47x |
| 94640 | Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen | 1.2K | $18.6K | $15.71 | 2.23x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 104 | $17.4K | $167.48 | 1.37x |
| 95115 | Injection of incremental dosages of allergen | 1.8K | $13.8K | $7.71 | 2.73x |
| 95004 | Injection of allergenic extracts into skin, accessed through the skin | 2.6K | $11.6K | $4.50 | 2.22x |
| 95024 | Injection of allergenic extracts into skin for immediate reaction analysis | 941 | $6.9K | $7.32 | 2.05x |
| 95012 | Measurement of inhaled nitric oxide gas | 326 | $5.9K | $18.17 | 3.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 125 | $5.3K | $42.31 | 1.65x |
| 95018 | Allergy testing with drugs or biologicals into or within the skin, immediate type reaction, including test interpretation and report | 218 | $3.8K | $17.65 | 1.72x |
This provider submits charges 1.73 times higher than what Medicare actually pays.
A markup ratio of 1.73x means for every $100 Medicare pays, this provider initially charges $173. This is lower 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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