This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 226% in 2016
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 | $130.75 | $56.82 | 2.30x | $73.93 | $1.1M | 16.8K | 5.6K |
| 2015 | $156.58 | $96.12 | 1.63x | $60.46 | $129.0K | 1.3K | 816 |
| 2016 | $129.83 | $79.46 | 1.63x | $50.37 | $420.3K | 4.6K | 1.7K |
| 2017 | $143.59 | $94.44 | 1.52x | $49.15 | $600.0K | 6.8K | 2.0K |
| 2018 | $155.93 | $101.58 | 1.54x | $54.35 | $477.6K | 5.2K | 1.7K |
| 2019 | $153.85 | $96.13 | 1.60x | $57.72 | $384.1K | 4.1K | 2.2K |
| 2020 | $196.87 | $119.54 | 1.65x | $77.33 | $130.1K | 763 | 507 |
| 2021 | $207.87 | $147.81 | 1.41x | $60.06 | $374.6K | 1.2K | 396 |
| 2022 | $301.60 | $206.06 | 1.46x | $95.54 | $487.4K | 1.3K | 285 |
| 2023 | $376.00 | $236.91 | 1.59x | $139.09 | $476.3K | 1.3K | 178 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 97610 | Low frequency, non-contact, non-thermal ultrasound wound assessment, and instructions for ongoing care, per day | 3.9K | $1.4M | $354.91 | 1.43x |
| 99349 | Established patient home visit, typically 40 minutes | 7.1K | $736.6K | $103.38 | 1.59x |
| 27370 | Injection procedure for X-ray imaging of knee | 2.9K | $508.4K | $173.86 | 2.75x |
| 99350 | Established patient home visit, typically 60 minutes | 2.4K | $347.4K | $147.16 | 1.54x |
| 99344 | New patient home visit, typically 60 minutes | 1.5K | $214.5K | $138.90 | 1.52x |
| 77002 | Fluoroscopic guidance for insertion of needle | 2.5K | $206.3K | $84.08 | 1.69x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 2.6K | $183.0K | $70.81 | 1.71x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 3.8K | $164.0K | $43.34 | 1.79x |
| 97597 | Removal of tissue from wounds per session | 2.3K | $154.5K | $68.12 | 1.47x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 1.4K | $135.3K | $96.58 | 1.55x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 591 | $70.6K | $119.39 | 1.53x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 673 | $68.7K | $102.13 | 2.74x |
| 99348 | Established patient home visit, typically 25 minutes | 907 | $62.2K | $68.53 | 1.71x |
| 29582 | Application of vein wound compression system thigh and lower leg | 848 | $43.7K | $51.56 | 1.94x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 231 | $41.6K | $180.14 | 1.38x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1.8K | $39.1K | $22.01 | 2.04x |
| 23350 | Injection of dye for X-ray imaging of shoulder joint | 244 | $31.0K | $127.24 | 2.48x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 237 | $30.1K | $126.99 | 1.50x |
| 99345 | New patient home visit, typically 75 minutes | 161 | $28.3K | $175.50 | 1.42x |
| 99343 | New patient home visit, typically 45 minutes | 207 | $21.4K | $103.40 | 1.67x |
This provider submits charges 1.71 times higher than what Medicare actually pays.
A markup ratio of 1.71x means for every $100 Medicare pays, this provider initially charges $171. 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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