This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 225% 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 | $76.27 | $36.56 | 2.09x | $39.71 | $191.3K | 4.4K | 2.8K |
| 2015 | $73.19 | $36.52 | 2.00x | $36.67 | $271.3K | 5.9K | 3.7K |
| 2016 | $78.75 | $38.14 | 2.06x | $40.61 | $353.4K | 7.6K | 4.8K |
| 2017 | $94.76 | $46.16 | 2.05x | $48.60 | $456.6K | 9.5K | 5.8K |
| 2018 | $99.49 | $51.16 | 1.94x | $48.33 | $609.5K | 11.9K | 6.9K |
| 2019 | $93.53 | $45.43 | 2.06x | $48.10 | $751.5K | 14.2K | 8.6K |
| 2020 | $91.44 | $47.49 | 1.93x | $43.95 | $732.8K | 13.8K | 8.5K |
| 2021 | $86.63 | $46.60 | 1.86x | $40.03 | $389.2K | 7.5K | 5.0K |
| 2022 | $86.68 | $50.65 | 1.71x | $36.03 | $430.6K | 9.2K | 6.6K |
| 2023 | $105.10 | $51.11 | 2.06x | $53.99 | $622.1K | 13.6K | 9.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.7K | $2.0M | $72.89 | 2.05x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.4K | $741.3K | $115.63 | 1.74x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.6K | $282.6K | $79.51 | 1.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.6K | $250.9K | $44.98 | 2.22x |
| 20553 | Injections of trigger points in 3 or more muscles | 2.5K | $113.6K | $44.84 | 3.35x |
| G0444 | Annual depression screening, 15 minutes | 6.4K | $109.8K | $17.25 | 2.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $97.4K | $96.53 | 2.33x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 485 | $92.1K | $189.99 | 1.69x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.7K | $90.7K | $33.59 | 1.81x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 529 | $84.1K | $159.03 | 1.09x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.8K | $75.8K | $12.98 | 3.08x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 694 | $71.4K | $102.87 | 1.13x |
| 17000 | Destruction of skin growth | 1.4K | $61.4K | $42.92 | 2.74x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 360 | $58.1K | $161.50 | 1.24x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 845 | $57.9K | $68.51 | 1.86x |
| G0008 | Administration of influenza virus vaccine | 2.5K | $55.1K | $21.93 | 1.60x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 497 | $49.1K | $98.79 | 1.98x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 329 | $39.0K | $118.48 | 1.77x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 276 | $38.1K | $137.88 | 1.90x |
| 90670 | Pneumococcal vaccine for injection into muscle | 192 | $36.8K | $191.86 | 1.03x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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.
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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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