This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Critical Care (Intensivists) providers nationally.
Medicare payments to this provider grew 57% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 285% in 2020
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 | $229.82 | $107.15 | 2.14x | $122.67 | $383.3K | 4.2K | 1.4K |
| 2015 | $217.44 | $100.46 | 2.16x | $116.98 | $329.9K | 3.8K | 1.2K |
| 2016 | $260.30 | $113.59 | 2.29x | $146.71 | $316.4K | 3.4K | 1.2K |
| 2017 | $256.60 | $117.71 | 2.18x | $138.89 | $376.6K | 4.0K | 1.4K |
| 2018 | $229.95 | $109.06 | 2.11x | $120.89 | $372.2K | 3.7K | 962 |
| 2019 | $209.17 | $109.85 | 1.90x | $99.32 | $334.2K | 3.2K | 829 |
| 2020 | $235.00 | $114.26 | 2.06x | $120.74 | $1.3M | 12.4K | 1.2K |
| 2021 | $235.69 | $100.43 | 2.35x | $135.26 | $668.5K | 6.5K | 625 |
| 2022 | $215.05 | $79.14 | 2.72x | $135.91 | $342.7K | 2.5K | 574 |
| 2023 | $192.74 | $75.94 | 2.54x | $116.80 | $601.3K | 5.9K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 10.3K | $1.8M | $172.39 | 2.40x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 7.8K | $825.5K | $106.51 | 1.88x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 8.9K | $726.1K | $81.57 | 1.93x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 6.0K | $442.2K | $73.39 | 2.06x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.5K | $364.4K | $56.30 | 1.82x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.4K | $214.8K | $156.33 | 1.80x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 3.8K | $205.8K | $54.76 | 2.01x |
| 99292 | Critical care delivery critically ill or injured patient | 1.7K | $153.1K | $88.12 | 2.19x |
| 31600 | Opening of windpipe through neck for insertion of breathing tube | 139 | $40.6K | $292.42 | 1.85x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 366 | $38.3K | $104.74 | 1.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 374 | $32.5K | $86.95 | 2.20x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 312 | $32.2K | $103.24 | 2.97x |
| 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 236 | $23.9K | $101.09 | 1.91x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 179 | $23.5K | $131.49 | 2.34x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 210 | $17.8K | $84.73 | 3.02x |
| 31622 | Diagnostic examination of lung airways using an endoscope | 114 | $13.3K | $116.28 | 3.39x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 77 | $12.3K | $159.93 | 2.37x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 93 | $12.3K | $132.07 | 1.89x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 294 | $9.5K | $32.26 | 2.14x |
| 31645 | Aspiration of lung secretions from lung airways using an endoscope | 66 | $8.4K | $127.96 | 3.85x |
This provider submits charges 2.12 times higher than what Medicare actually pays.
A markup ratio of 2.12x means for every $100 Medicare pays, this provider initially charges $212. 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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