This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.
Medicare payments to this provider grew 88% 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 | $620.05 | $146.90 | 4.22x | $473.15 | $230.4K | 3.2K | 2.5K |
| 2015 | $532.87 | $149.12 | 3.57x | $383.75 | $264.6K | 3.6K | 2.8K |
| 2016 | $534.90 | $143.91 | 3.72x | $390.99 | $310.7K | 4.1K | 3.2K |
| 2017 | $627.97 | $176.75 | 3.55x | $451.22 | $385.4K | 5.2K | 3.9K |
| 2018 | $648.38 | $160.50 | 4.04x | $487.88 | $381.6K | 4.6K | 3.7K |
| 2019 | $589.22 | $159.14 | 3.70x | $430.08 | $363.2K | 4.2K | 3.3K |
| 2020 | $558.49 | $182.66 | 3.06x | $375.83 | $327.6K | 3.8K | 2.9K |
| 2021 | $580.35 | $192.73 | 3.01x | $387.62 | $407.2K | 4.4K | 3.2K |
| 2022 | $552.83 | $175.24 | 3.15x | $377.59 | $480.5K | 5.6K | 4.1K |
| 2023 | $639.21 | $165.62 | 3.86x | $473.59 | $433.3K | 5.0K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.7K | $630.0K | $59.10 | 2.68x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 1.5K | $426.4K | $293.63 | 2.62x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.8K | $216.9K | $77.80 | 3.03x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 462 | $199.0K | $430.70 | 5.69x |
| 57425 | Vaginal defect repair using an endoscope | 246 | $198.4K | $806.63 | 2.98x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 659 | $175.4K | $266.15 | 2.61x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 1.4K | $172.0K | $118.84 | 3.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $149.9K | $85.73 | 2.74x |
| L8606 | Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies | 643 | $116.0K | $180.39 | 2.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 938 | $111.6K | $119.02 | 3.02x |
| 57260 | Plastic repair of vagina and tissue separating vagina, rectum, and bladder | 185 | $97.5K | $526.94 | 3.42x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 347 | $97.4K | $280.55 | 3.04x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 1.8K | $91.8K | $51.65 | 6.13x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.8K | $66.2K | $37.40 | 2.82x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 143 | $65.8K | $460.28 | 3.24x |
| 57250 | Repair of herniated rectum into vaginal wall | 170 | $60.4K | $355.03 | 4.09x |
| 91122 | Study of anorectal pressure generated by muscles surrounding anus (sphincter) | 321 | $57.5K | $179.12 | 2.76x |
| 76830 | Ultrasound pelvis through vagina | 561 | $53.5K | $95.36 | 3.01x |
| 57240 | Repair of herniated bladder into vaginal wall | 157 | $48.5K | $308.86 | 4.79x |
| 57282 | Vaginal repair of pelvic ligaments | 194 | $46.8K | $241.44 | 5.19x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. This is higher 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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