This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 51% 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 | $112.32 | $83.76 | 1.34x | $28.56 | $420.7K | 6.2K | 2.0K |
| 2015 | $114.89 | $82.21 | 1.40x | $32.68 | $442.5K | 6.5K | 2.3K |
| 2016 | $123.90 | $87.23 | 1.42x | $36.67 | $443.4K | 6.5K | 2.1K |
| 2017 | $108.13 | $70.98 | 1.52x | $37.15 | $500.3K | 7.6K | 2.3K |
| 2018 | $110.52 | $77.32 | 1.43x | $33.20 | $492.4K | 7.3K | 2.3K |
| 2019 | $107.24 | $73.33 | 1.46x | $33.91 | $584.6K | 8.3K | 2.5K |
| 2020 | $111.50 | $78.01 | 1.43x | $33.49 | $574.0K | 8.0K | 2.1K |
| 2021 | $104.62 | $78.19 | 1.34x | $26.43 | $595.9K | 8.5K | 2.3K |
| 2022 | $110.09 | $79.04 | 1.39x | $31.05 | $715.4K | 10.6K | 2.9K |
| 2023 | $112.81 | $78.87 | 1.43x | $33.94 | $636.5K | 9.9K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 25.0K | $1.6M | $63.07 | 1.37x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 14.2K | $1.2M | $81.96 | 1.40x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 17.8K | $692.5K | $39.01 | 1.43x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 3.7K | $567.9K | $152.70 | 1.37x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $320.0K | $94.78 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $239.0K | $62.33 | 1.55x |
| 99349 | Established patient home visit, typically 40 minutes | 1.9K | $203.0K | $109.08 | 1.48x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 1.8K | $120.7K | $66.84 | 1.37x |
| 99350 | Established patient home visit, typically 60 minutes | 598 | $90.1K | $150.66 | 1.47x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 565 | $81.8K | $144.73 | 1.09x |
| 99348 | Established patient home visit, typically 25 minutes | 1.0K | $69.9K | $69.72 | 1.51x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 262 | $50.5K | $192.71 | 1.10x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 233 | $41.5K | $178.08 | 1.26x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 1.4K | $25.0K | $17.43 | 1.55x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 260 | $24.0K | $92.24 | 1.35x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 652 | $23.9K | $36.62 | 1.65x |
| G0008 | Administration of influenza virus vaccine | 584 | $15.2K | $26.09 | 1.16x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 81 | $14.7K | $181.55 | 1.35x |
| G0444 | Annual depression screening, 15 minutes | 634 | $13.5K | $21.24 | 1.04x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 80 | $10.4K | $130.08 | 1.63x |
This provider submits charges 1.4 times higher than what Medicare actually pays.
A markup ratio of 1.4x means for every $100 Medicare pays, this provider initially charges $140. This is lower 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