This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 2720% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 544% in 2018
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 | $236.92 | $91.26 | 2.60x | $145.66 | $27.0K | 315 | 168 |
| 2018 | $377.82 | $116.25 | 3.25x | $261.57 | $173.6K | 2.2K | 618 |
| 2019 | $448.81 | $118.01 | 3.80x | $330.80 | $808.0K | 9.1K | 2.1K |
| 2020 | $447.35 | $119.52 | 3.74x | $327.83 | $682.8K | 7.0K | 1.5K |
| 2021 | $528.32 | $153.49 | 3.44x | $374.83 | $965.5K | 10.1K | 1.7K |
| 2022 | $456.15 | $152.00 | 3.00x | $304.15 | $890.3K | 8.5K | 1.8K |
| 2023 | $350.52 | $128.45 | 2.73x | $222.07 | $760.0K | 6.5K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 29.0K | $1.8M | $62.57 | 3.43x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 4.3K | $1.2M | $283.01 | 3.28x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.1K | $523.8K | $168.36 | 3.30x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.0K | $270.1K | $91.20 | 3.40x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $228.8K | $100.55 | 2.54x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 255 | $58.4K | $228.98 | 3.07x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 465 | $53.6K | $115.32 | 3.70x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 384 | $50.9K | $132.56 | 3.19x |
| 90966 | Home dialysis services per month, patient 20 years of age or older | 183 | $46.4K | $253.48 | 3.65x |
| 90935 | Hemodialysis procedure with one physician evaluation | 358 | $22.2K | $61.96 | 3.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 142 | $9.8K | $69.17 | 3.00x |
| 90962 | Dialysis services (1 physician visit per month), patient 20 years of age and older | 33 | $5.8K | $177.07 | 3.67x |
| 99238 | Hospital discharge day management, 30 minutes or less | 70 | $4.4K | $62.96 | 3.65x |
| 99239 | Hospital discharge day management, more than 30 minutes | 30 | $2.7K | $89.18 | 2.57x |
| 99217 | Hospital observation care discharge | 32 | $1.9K | $59.25 | 2.60x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 41 | $1.8K | $45.12 | 2.43x |
This provider submits charges 3.32 times higher than what Medicare actually pays.
A markup ratio of 3.32x means for every $100 Medicare pays, this provider initially charges $332. 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.
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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