This provider's $7.0M 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 | $279.10 | $96.28 | 2.90x | $182.82 | $451.6K | 4.6K | 1.8K |
| 2015 | $221.20 | $71.42 | 3.10x | $149.78 | $493.6K | 6.1K | 1.6K |
| 2016 | $236.73 | $83.49 | 2.84x | $153.24 | $574.8K | 7.7K | 1.7K |
| 2017 | $221.95 | $73.78 | 3.01x | $148.17 | $672.7K | 9.9K | 2.1K |
| 2018 | $222.01 | $77.38 | 2.87x | $144.63 | $795.4K | 11.9K | 2.5K |
| 2019 | $212.17 | $83.97 | 2.53x | $128.20 | $912.8K | 14.2K | 2.9K |
| 2020 | $164.85 | $83.08 | 1.98x | $81.77 | $798.3K | 11.3K | 2.6K |
| 2021 | $133.99 | $77.49 | 1.73x | $56.50 | $784.3K | 10.7K | 3.5K |
| 2022 | $133.60 | $94.91 | 1.41x | $38.69 | $860.8K | 11.8K | 4.4K |
| 2023 | $118.54 | $60.06 | 1.97x | $58.48 | $619.2K | 8.6K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 49.2K | $2.7M | $53.92 | 1.61x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 2.6K | $612.9K | $236.20 | 2.55x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.3K | $608.5K | $83.49 | 2.09x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 7.4K | $601.1K | $81.36 | 2.29x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 4.2K | $546.4K | $131.28 | 2.01x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.9K | $441.2K | $153.14 | 2.43x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 4.4K | $295.6K | $67.20 | 2.23x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.3K | $226.8K | $171.96 | 2.32x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 2.7K | $226.2K | $85.32 | 2.08x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5K | $124.1K | $84.26 | 2.72x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.1K | $122.6K | $109.88 | 1.93x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $86.4K | $59.97 | 2.50x |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | 130 | $44.8K | $344.94 | 1.01x |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 79 | $36.8K | $465.65 | 1.31x |
| M0220 | Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromise | 240 | $35.5K | $147.96 | 1.02x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 239 | $33.7K | $141.06 | 2.05x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.3K | $29.1K | $12.90 | 3.04x |
| M0223 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | 65 | $28.8K | $442.73 | 1.02x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 245 | $27.0K | $110.31 | 2.68x |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | 56 | $25.2K | $450.00 | 1.00x |
This provider submits charges 2.02 times higher than what Medicare actually pays.
A markup ratio of 2.02x means for every $100 Medicare pays, this provider initially charges $202. This is higher 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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