This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 358% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3232% in 2018
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 | $189.68 | $93.75 | 2.02x | $95.93 | $255.3K | 2.9K | 1.3K |
| 2015 | $122.76 | $62.17 | 1.97x | $60.59 | $92.2K | 1.7K | 222 |
| 2016 | $231.02 | $90.38 | 2.56x | $140.64 | $170.0K | 2.2K | 831 |
| 2017 | $211.68 | $76.72 | 2.76x | $134.96 | $28.7K | 693 | 614 |
| 2018 | $228.34 | $82.48 | 2.77x | $145.86 | $955.7K | 11.7K | 7.6K |
| 2019 | $261.88 | $77.01 | 3.40x | $184.87 | $517.7K | 11.1K | 4.4K |
| 2020 | $197.41 | $72.05 | 2.74x | $125.36 | $831.2K | 17.2K | 7.9K |
| 2021 | $189.22 | $75.98 | 2.49x | $113.24 | $1.3M | 26.1K | 9.7K |
| 2022 | $202.81 | $70.39 | 2.88x | $132.42 | $2.0M | 29.9K | 12.2K |
| 2023 | $196.06 | $63.92 | 3.07x | $132.14 | $1.2M | 18.3K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 26.5K | $2.3M | $85.16 | 2.58x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 27.7K | $925.3K | $33.36 | 2.85x |
| 99489 | Complex chronic care management services each additional 30 minutes clinical staff time | 17.7K | $794.0K | $44.88 | 2.53x |
| 99350 | Established patient home visit, typically 60 minutes | 4.8K | $635.1K | $132.90 | 2.65x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.3K | $210.1K | $162.75 | 2.93x |
| 99349 | Established patient home visit, typically 40 minutes | 2.0K | $186.8K | $94.07 | 2.69x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 5.8K | $184.4K | $32.01 | 2.67x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $168.1K | $81.38 | 2.14x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | 4.1K | $161.9K | $39.19 | 2.67x |
| 99344 | New patient home visit, typically 60 minutes | 1.3K | $151.5K | $117.27 | 3.07x |
| 99345 | New patient home visit, typically 75 minutes | 805 | $129.8K | $161.18 | 2.71x |
| G0179 | Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp | 4.3K | $128.5K | $30.02 | 2.69x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.0K | $115.0K | $56.74 | 2.49x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.1K | $111.9K | $53.36 | 2.11x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.6K | $110.5K | $42.76 | 2.78x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 2.8K | $109.0K | $38.75 | 3.24x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 967 | $94.3K | $97.56 | 2.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 605 | $93.1K | $153.94 | 2.41x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 2.4K | $88.1K | $36.84 | 2.69x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 559 | $77.9K | $139.43 | 2.73x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. 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 Internal Medicine providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Owen Ellington, M.D, J.D. | Humble, TX | $34.4M | ✓ 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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