This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Gynecological Oncology providers nationally.
Medicare payments to this provider grew 72% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.9K | $414.71 | 4.58x | $1.5K | $313.7K | 2.2K | 1.8K |
| 2015 | $1.8K | $361.39 | 4.90x | $1.4K | $334.2K | 2.4K | 2.0K |
| 2016 | $1.7K | $344.83 | 4.91x | $1.3K | $312.8K | 2.4K | 2.0K |
| 2017 | $1.5K | $336.87 | 4.41x | $1.1K | $374.1K | 2.5K | 2.1K |
| 2018 | $1.7K | $357.11 | 4.80x | $1.4K | $354.8K | 2.4K | 2.0K |
| 2019 | $1.7K | $339.64 | 5.04x | $1.4K | $389.5K | 2.5K | 2.1K |
| 2020 | $1.6K | $305.36 | 5.28x | $1.3K | $412.0K | 2.5K | 2.1K |
| 2021 | $1.6K | $309.11 | 5.33x | $1.3K | $580.0K | 2.7K | 2.3K |
| 2022 | $1.9K | $352.98 | 5.38x | $1.5K | $525.9K | 2.6K | 2.2K |
| 2023 | $1.7K | $309.85 | 5.45x | $1.4K | $539.7K | 2.6K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 50949 | Urinary duct (ureter) procedure using an endoscope | 956 | $1.1M | $1.2K | 2.64x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.4K | $593.2K | $62.90 | 4.41x |
| 58571 | Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope | 679 | $346.3K | $510.05 | 6.20x |
| 58548 | Removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy using an endoscope | 239 | $339.1K | $1.4K | 4.56x |
| 44238 | Bowel procedure using an endoscope | 539 | $265.0K | $491.64 | 5.81x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.3K | $226.1K | $100.24 | 4.42x |
| 50715 | Release of scar tissue at urinary duct (ureter) | 188 | $218.4K | $1.2K | 6.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $186.3K | $36.00 | 4.60x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $161.9K | $140.13 | 4.14x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $117.5K | $99.00 | 4.23x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 419 | $83.2K | $198.45 | 4.08x |
| 58661 | Removal of ovaries and/or tubes using an endoscope | 194 | $82.8K | $427.05 | 7.33x |
| 56620 | Partial removal of external female genitals | 172 | $77.6K | $450.90 | 4.09x |
| 44110 | Removal of growth of small or large bowels | 125 | $47.5K | $380.24 | 7.54x |
| 57106 | Partial removal of vaginal wall | 135 | $44.9K | $332.44 | 5.20x |
| 38571 | Removal of total lymph nodes of both sides of pelvis using an endoscope | 152 | $42.9K | $282.33 | 7.85x |
| 58662 | Destruction or removal of ovary or pelvic growths using an endoscope | 108 | $37.4K | $346.19 | 6.87x |
| 38572 | Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope | 48 | $26.4K | $549.00 | 5.74x |
| 57420 | Examination of the vagina using an endoscope | 242 | $17.1K | $70.49 | 4.30x |
| 57421 | Biopsy of vagina and cervix using an endoscope | 168 | $16.3K | $97.26 | 4.21x |
This provider submits charges 4.44 times higher than what Medicare actually pays.
A markup ratio of 4.44x means for every $100 Medicare pays, this provider initially charges $444. 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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