This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 5292% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 9957% in 2017
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 | $536.75 | $107.04 | 5.01x | $429.71 | $17.2K | 189 | 140 |
| 2015 | $553.67 | $114.97 | 4.82x | $438.70 | $11.6K | 122 | 112 |
| 2016 | $201.00 | $142.68 | 1.41x | $58.32 | $3.3K | 23 | 23 |
| 2017 | $204.55 | $116.46 | 1.76x | $88.09 | $330.0K | 4.4K | 2.2K |
| 2018 | $161.24 | $84.24 | 1.91x | $77.00 | $486.5K | 10.9K | 6.4K |
| 2019 | $144.19 | $71.64 | 2.01x | $72.55 | $612.8K | 16.0K | 8.5K |
| 2020 | $102.77 | $54.55 | 1.88x | $48.22 | $808.6K | 16.8K | 7.9K |
| 2021 | $135.37 | $74.60 | 1.81x | $60.77 | $1.1M | 20.1K | 8.0K |
| 2022 | $136.12 | $75.33 | 1.81x | $60.79 | $984.3K | 16.6K | 6.6K |
| 2023 | $144.19 | $81.77 | 1.76x | $62.42 | $929.7K | 12.6K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 41.8K | $2.8M | $66.60 | 1.81x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 9.4K | $1.2M | $122.98 | 1.59x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 6.6K | $240.3K | $36.64 | 1.56x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.4K | $231.3K | $67.57 | 2.60x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.7K | $197.7K | $117.59 | 1.44x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 26.1K | $195.1K | $7.46 | 2.31x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 1.5K | $93.0K | $62.03 | 1.50x |
| 93227 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 3.3K | $69.4K | $21.25 | 1.85x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 464 | $52.5K | $113.25 | 1.77x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 439 | $34.6K | $78.92 | 1.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 493 | $33.5K | $68.00 | 1.53x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 178 | $24.6K | $138.37 | 1.59x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 148 | $22.9K | $154.79 | 1.30x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 623 | $22.0K | $35.38 | 3.04x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 210 | $19.3K | $91.82 | 4.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 92 | $13.7K | $148.71 | 2.20x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 73 | $13.0K | $178.58 | 3.07x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 60 | $11.4K | $189.58 | 1.32x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 29 | $9.3K | $321.24 | 1.81x |
| 33282 | Implantation patient-activated heart monitoring device | 39 | $7.9K | $203.41 | 1.92x |
This provider submits charges 1.8 times higher than what Medicare actually pays.
A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. 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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