This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Nephrology 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 | $161.15 | $82.91 | 1.94x | $78.24 | $464.3K | 5.0K | 1.1K |
| 2015 | $197.72 | $98.92 | 2.00x | $98.80 | $426.5K | 3.9K | 807 |
| 2016 | $197.73 | $94.15 | 2.10x | $103.58 | $378.4K | 3.1K | 719 |
| 2017 | $202.78 | $91.56 | 2.21x | $111.22 | $318.3K | 2.2K | 557 |
| 2018 | $252.86 | $112.03 | 2.26x | $140.83 | $318.9K | 2.2K | 493 |
| 2019 | $253.45 | $117.01 | 2.17x | $136.44 | $340.8K | 2.1K | 482 |
| 2020 | $254.34 | $118.46 | 2.15x | $135.88 | $345.3K | 2.1K | 498 |
| 2021 | $307.11 | $162.06 | 1.90x | $145.05 | $448.3K | 2.1K | 520 |
| 2022 | $268.76 | $139.76 | 1.92x | $129.00 | $404.2K | 2.1K | 638 |
| 2023 | $279.17 | $122.51 | 2.28x | $156.66 | $347.3K | 2.9K | 820 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 8.5K | $2.1M | $250.57 | 2.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.3K | $594.2K | $80.91 | 1.76x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 2.3K | $526.9K | $229.37 | 2.09x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.3K | $259.2K | $60.32 | 1.66x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 554 | $93.7K | $169.10 | 1.48x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 473 | $72.4K | $152.99 | 2.61x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 397 | $45.7K | $115.06 | 1.89x |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 947 | $25.5K | $26.88 | 2.60x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 222 | $11.0K | $49.35 | 2.33x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 586 | $10.8K | $18.42 | 2.44x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 979 | $9.0K | $9.18 | 2.71x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 461 | $7.6K | $16.59 | 3.01x |
| 93922 | Ultrasound study of arteries of both arms and legs | 93 | $7.3K | $78.54 | 1.59x |
| 99238 | Hospital discharge day management, 30 minutes or less | 28 | $1.7K | $61.09 | 1.80x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 15 | $1.7K | $111.08 | 1.86x |
| 85018 | Hemoglobin measurement | 502 | $1.6K | $3.17 | 1.58x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 13 | $550.08 | $42.31 | 2.36x |
| G0008 | Administration of influenza virus vaccine | 13 | $337.28 | $25.94 | 1.16x |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 13 | $153.40 | $11.80 | 1.27x |
This provider submits charges 1.97 times higher than what Medicare actually pays.
A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. 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.
Other Nephrology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Feliciano Serrano, M.D. | Huntington Park, CA | $45.3M | ✓ Clear |
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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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