This provider's $7.6M in total Medicare payments ranks in the 99th 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.
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 | $162.41 | $78.65 | 2.06x | $83.76 | $827.9K | 8.3K | 1.9K |
| 2015 | $169.19 | $82.80 | 2.04x | $86.39 | $803.3K | 7.1K | 1.6K |
| 2016 | $163.59 | $77.90 | 2.10x | $85.69 | $843.4K | 8.0K | 1.8K |
| 2017 | $174.36 | $84.50 | 2.06x | $89.86 | $822.6K | 7.5K | 1.5K |
| 2018 | $198.41 | $93.20 | 2.13x | $105.21 | $749.3K | 7.3K | 1.7K |
| 2019 | $229.05 | $115.87 | 1.98x | $113.18 | $803.0K | 6.7K | 1.4K |
| 2020 | $195.99 | $98.92 | 1.98x | $97.07 | $648.1K | 5.9K | 1.6K |
| 2021 | $220.34 | $127.96 | 1.72x | $92.38 | $788.4K | 6.0K | 1.4K |
| 2022 | $255.82 | $141.28 | 1.81x | $114.54 | $657.1K | 5.0K | 1.2K |
| 2023 | $222.83 | $121.59 | 1.83x | $101.24 | $652.3K | 5.4K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 14.9K | $3.7M | $246.36 | 2.03x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 24.4K | $1.5M | $60.11 | 1.41x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 3.5K | $715.4K | $203.59 | 2.46x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.2K | $680.7K | $163.00 | 1.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.3K | $531.2K | $56.83 | 1.79x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 1.4K | $286.0K | $209.23 | 1.91x |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | 2.3K | $57.0K | $24.41 | 2.64x |
| 90935 | Hemodialysis procedure with one physician evaluation | 736 | $43.7K | $59.33 | 3.79x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 221 | $35.3K | $159.81 | 1.88x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 358 | $30.5K | $85.22 | 1.53x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.6K | $26.9K | $17.32 | 2.02x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 524 | $25.3K | $48.24 | 1.97x |
| 36415 | Insertion of needle into vein for collection of blood sample | 2.0K | $6.2K | $3.08 | 2.92x |
| G0008 | Administration of influenza virus vaccine | 216 | $5.8K | $26.65 | 1.13x |
| 99238 | Hospital discharge day management, 30 minutes or less | 51 | $3.0K | $58.65 | 1.36x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 36 | $2.3K | $65.04 | 1.54x |
| J0897 | Injection, denosumab, 1 mg | 187 | $2.2K | $11.69 | 2.26x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 666 | $2.0K | $2.95 | 2.40x |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 122 | $1.0K | $8.41 | 4.76x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 12 | $984.24 | $82.02 | 1.52x |
This provider submits charges 1.89 times higher than what Medicare actually pays.
A markup ratio of 1.89x means for every $100 Medicare pays, this provider initially charges $189. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Nephrology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Feliciano Serrano, M.D. | Huntington Park, CA | $45.3M | ✓ Clear |
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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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