This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 153% 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 | $407.08 | $124.84 | 3.26x | $282.24 | $405.6K | 4.0K | 1.9K |
| 2015 | $444.67 | $120.97 | 3.68x | $323.70 | $533.8K | 5.6K | 1.9K |
| 2016 | $387.00 | $122.40 | 3.16x | $264.60 | $603.8K | 6.1K | 2.0K |
| 2017 | $357.86 | $114.35 | 3.13x | $243.51 | $685.0K | 6.7K | 2.0K |
| 2018 | $362.25 | $108.91 | 3.33x | $253.34 | $626.6K | 6.6K | 2.2K |
| 2019 | $347.67 | $113.18 | 3.07x | $234.49 | $580.1K | 6.4K | 2.3K |
| 2020 | $349.73 | $116.51 | 3.00x | $233.22 | $633.1K | 6.7K | 2.4K |
| 2021 | $373.01 | $129.01 | 2.89x | $244.00 | $567.9K | 5.4K | 2.1K |
| 2022 | $287.22 | $100.42 | 2.86x | $186.80 | $766.6K | 13.7K | 4.2K |
| 2023 | $253.66 | $91.80 | 2.76x | $161.86 | $1.0M | 21.8K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.7K | $1.5M | $75.79 | 2.59x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 5.7K | $1.3M | $222.97 | 3.08x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 12.3K | $960.9K | $78.18 | 3.27x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.7K | $474.8K | $54.52 | 3.21x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 1.9K | $347.9K | $186.12 | 3.08x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.0K | $301.1K | $149.94 | 3.27x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 7.7K | $273.4K | $35.50 | 2.82x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 7.8K | $272.1K | $35.03 | 2.71x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 1.4K | $245.1K | $179.03 | 3.23x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 6.8K | $195.3K | $28.86 | 2.77x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $170.3K | $111.07 | 2.87x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 779 | $106.9K | $137.20 | 3.25x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 2.0K | $90.9K | $45.92 | 1.70x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1.9K | $64.9K | $34.72 | 2.30x |
| 93976 | Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 687 | $49.0K | $71.34 | 3.05x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 400 | $40.5K | $101.33 | 3.36x |
| 76770 | Ultrasound behind abdominal cavity | 658 | $33.6K | $51.13 | 3.86x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 181 | $17.6K | $97.26 | 3.03x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 196 | $12.4K | $63.43 | 3.47x |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 750 | $9.7K | $12.99 | 2.62x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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