This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $88.36 | $41.22 | 2.14x | $47.14 | $548.9K | 11.1K | 3.6K |
| 2015 | $97.88 | $42.84 | 2.28x | $55.04 | $471.5K | 11.1K | 3.5K |
| 2016 | $103.48 | $41.91 | 2.47x | $61.57 | $399.8K | 10.3K | 3.3K |
| 2017 | $102.07 | $46.48 | 2.20x | $55.59 | $378.4K | 10.5K | 3.2K |
| 2018 | $100.95 | $45.80 | 2.20x | $55.15 | $380.1K | 10.0K | 2.6K |
| 2019 | $111.95 | $45.70 | 2.45x | $66.25 | $250.7K | 6.6K | 1.2K |
| 2020 | $114.00 | $51.75 | 2.20x | $62.25 | $314.8K | 7.7K | 972 |
| 2021 | $130.00 | $59.56 | 2.18x | $70.44 | $303.7K | 7.7K | 1.2K |
| 2022 | $130.00 | $58.26 | 2.23x | $71.74 | $226.1K | 6.0K | 829 |
| 2023 | $130.00 | $60.70 | 2.14x | $69.30 | $212.5K | 4.8K | 690 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 39.2K | $1.2M | $29.52 | 2.78x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 19.2K | $1.0M | $52.71 | 2.37x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 4.3K | $409.4K | $95.17 | 2.00x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.1K | $284.1K | $68.64 | 2.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $125.0K | $43.22 | 2.26x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 634 | $91.4K | $144.19 | 1.85x |
| 95943 | Testing of autonomic (parasympathetic and sympathetic) nervous system function | 422 | $57.2K | $135.62 | 1.87x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 428 | $43.7K | $102.03 | 2.48x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 467 | $35.1K | $75.25 | 2.33x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 165 | $23.4K | $141.63 | 2.54x |
| G0434 | Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter | 1.2K | $22.9K | $19.30 | 1.72x |
| 80305 | Testing for presence of drug | 1.5K | $21.2K | $13.77 | 2.54x |
| 80307 | Testing for presence of drug | 282 | $19.7K | $69.96 | 1.79x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.1K | $17.4K | $16.04 | 2.02x |
| 93922 | Ultrasound study of arteries of both arms and legs | 263 | $14.9K | $56.67 | 2.97x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 230 | $14.3K | $62.33 | 2.53x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 98 | $12.4K | $126.37 | 3.32x |
| 99238 | Hospital discharge day management, 30 minutes or less | 219 | $11.5K | $52.52 | 1.90x |
| 97597 | Removal of tissue from wounds per session | 589 | $10.0K | $16.94 | 5.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 108 | $9.4K | $86.67 | 2.52x |
This provider submits charges 2.42 times higher than what Medicare actually pays.
A markup ratio of 2.42x means for every $100 Medicare pays, this provider initially charges $242. 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.
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