This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $1.0K | $610.03 | 1.68x | $413.51 | $6.1M | 10.0K | 7.2K |
| 2018 | $2.0K | $610.01 | 3.21x | $1.3K | $5.0M | 8.3K | 5.9K |
| 2019 | $1.1K | $610.04 | 1.76x | $463.87 | $6.1M | 10.0K | 7.2K |
| 2020 | $1.7K | $610.02 | 2.87x | $1.1K | $8.4M | 13.7K | 9.9K |
| 2021 | $1.3K | $610.04 | 2.18x | $717.55 | $6.5M | 10.6K | 7.6K |
| 2022 | $1.2K | $610.03 | 1.90x | $548.40 | $10.6M | 17.3K | 12.5K |
| 2023 | $1.2K | $610.05 | 1.94x | $572.53 | $8.8M | 14.4K | 10.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, low complexity | 37.8K | $17.2M | $454.49 | 1.94x |
| 99214 | Office/outpatient visit, moderate complexity | 14.9K | $7.4M | $497.00 | 2.41x |
| 99215 | Office/outpatient visit, high complexity | 9.2K | $4.5M | $490.83 | 2.97x |
| 99203 | Office/outpatient visit, new patient | 6.7K | $3.2M | $476.10 | 2.73x |
| 36415 | Insertion of needle into vein for blood collection | 4.9K | $2.8M | $574.42 | 2.44x |
| 80053 | Comprehensive metabolic panel | 4.5K | $2.5M | $558.81 | 4.14x |
| 93000 | Electrocardiogram with interpretation | 2.1K | $1.0M | $503.02 | 2.96x |
| 85025 | Complete blood cell count | 1.8K | $948.6K | $539.90 | 3.96x |
| 71046 | Chest X-ray, 2 views | 994 | $792.2K | $796.95 | 3.34x |
| 96372 | Therapeutic injection | 1.5K | $771.1K | $516.12 | 2.43x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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 Unknown providers in for peer comparison.
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