This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 103% from 2014 to 2023.
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 | $295.66 | $104.01 | 2.84x | $191.65 | $255.2K | 2.3K | 1.0K |
| 2015 | $294.06 | $109.45 | 2.69x | $184.61 | $323.2K | 3.4K | 1.9K |
| 2016 | $296.79 | $102.93 | 2.88x | $193.86 | $339.8K | 3.8K | 2.1K |
| 2017 | $181.58 | $63.62 | 2.85x | $117.96 | $350.6K | 7.0K | 4.1K |
| 2018 | $162.43 | $55.83 | 2.91x | $106.60 | $390.2K | 9.2K | 4.9K |
| 2019 | $168.57 | $60.22 | 2.80x | $108.35 | $488.8K | 11.6K | 6.0K |
| 2020 | $157.24 | $56.42 | 2.79x | $100.82 | $529.9K | 11.7K | 5.7K |
| 2021 | $138.13 | $55.56 | 2.49x | $82.57 | $600.8K | 12.2K | 6.6K |
| 2022 | $151.14 | $59.32 | 2.55x | $91.82 | $580.3K | 11.8K | 6.1K |
| 2023 | $142.80 | $56.80 | 2.51x | $86.00 | $517.0K | 9.8K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 4.3K | $983.4K | $229.83 | 2.07x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.5K | $588.7K | $78.67 | 2.35x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.7K | $570.0K | $53.11 | 3.47x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 6.5K | $503.3K | $76.90 | 2.86x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 1.8K | $359.4K | $204.56 | 2.03x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.0K | $285.3K | $144.22 | 2.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $182.7K | $54.89 | 2.91x |
| 83970 | Parathormone (parathyroid hormone) level | 3.5K | $152.0K | $43.09 | 1.44x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.0K | $99.1K | $97.01 | 3.49x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 437 | $84.9K | $194.22 | 2.14x |
| 82306 | Vitamin D-3 level | 2.6K | $79.2K | $30.61 | 1.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 636 | $71.3K | $112.11 | 3.02x |
| 99239 | Hospital discharge day management, more than 30 minutes | 599 | $45.6K | $76.05 | 2.89x |
| 90935 | Hemodialysis procedure with one physician evaluation | 691 | $37.2K | $53.90 | 6.31x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 3.9K | $32.0K | $8.14 | 2.58x |
| 99238 | Hospital discharge day management, 30 minutes or less | 604 | $30.9K | $51.13 | 3.62x |
| 83735 | Magnesium level | 3.4K | $24.0K | $7.00 | 3.85x |
| 80069 | Kidney function blood test panel | 2.5K | $22.2K | $8.87 | 2.37x |
| 82043 | Urine microalbumin (protein) level | 3.2K | $19.6K | $6.06 | 2.64x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 3.2K | $17.5K | $5.43 | 1.38x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data