This provider's $8.5M in total Medicare payments ranks in the 99th percentile of Endocrinology 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 | $439.92 | $113.95 | 3.86x | $325.97 | $872.1K | 8.7K | 1.7K |
| 2015 | $452.21 | $110.18 | 4.10x | $342.03 | $948.0K | 9.1K | 1.5K |
| 2016 | $465.84 | $105.59 | 4.41x | $360.25 | $781.0K | 8.3K | 1.6K |
| 2017 | $366.04 | $102.08 | 3.59x | $263.96 | $783.9K | 8.1K | 1.2K |
| 2018 | $402.67 | $102.62 | 3.92x | $300.05 | $648.9K | 6.3K | 974 |
| 2019 | $504.83 | $105.76 | 4.77x | $399.07 | $861.2K | 7.9K | 1.3K |
| 2020 | $545.19 | $121.58 | 4.48x | $423.61 | $892.8K | 8.4K | 1.4K |
| 2021 | $1.1K | $126.47 | 8.76x | $981.88 | $798.7K | 6.8K | 1.0K |
| 2022 | $674.11 | $132.49 | 5.09x | $541.62 | $942.0K | 9.4K | 1.1K |
| 2023 | $540.53 | $122.34 | 4.42x | $418.19 | $1.0M | 9.2K | 966 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 47.3K | $4.2M | $89.00 | 3.32x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 9.8K | $1.8M | $184.69 | 2.80x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 9.7K | $1.2M | $123.86 | 2.91x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.8K | $297.3K | $169.29 | 2.14x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.8K | $277.4K | $99.87 | 3.17x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.1K | $251.7K | $61.04 | 3.66x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 503 | $90.9K | $180.81 | 4.26x |
| 95913 | Nerve transmission studies, 13 or more studies | 317 | $83.1K | $262.01 | 6.11x |
| 76536 | Ultrasound of head and neck | 703 | $74.8K | $106.47 | 6.66x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 384 | $62.5K | $162.69 | 2.83x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.4K | $26.6K | $18.96 | 2.55x |
| 95926 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the legs | 164 | $21.4K | $130.30 | 6.20x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 83 | $19.6K | $236.66 | 2.65x |
| G0008 | Administration of influenza virus vaccine | 617 | $16.3K | $26.49 | 2.10x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 68 | $14.0K | $206.01 | 6.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 209 | $12.9K | $61.52 | 3.74x |
| 76700 | Ultrasound of abdomen | 105 | $12.4K | $117.69 | 5.02x |
| 90756 | Vaccine for influenza for injection into muscle | 344 | $9.5K | $27.50 | 3.24x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 45 | $7.7K | $171.15 | 17.26x |
| 60100 | Needle biopsy of thyroid, accessed through the skin | 70 | $7.0K | $99.29 | 4.00x |
This provider submits charges 3.22 times higher than what Medicare actually pays.
A markup ratio of 3.22x means for every $100 Medicare pays, this provider initially charges $322. 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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