This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $308.93 | $84.89 | 3.64x | $224.04 | $316.1K | 5.3K | 2.4K |
| 2015 | $135.76 | $81.48 | 1.67x | $54.28 | $471.9K | 7.9K | 3.1K |
| 2016 | $160.46 | $93.47 | 1.72x | $66.99 | $537.6K | 8.8K | 3.8K |
| 2017 | $153.53 | $88.72 | 1.73x | $64.81 | $355.7K | 5.6K | 2.7K |
| 2018 | $140.89 | $75.78 | 1.86x | $65.11 | $288.4K | 4.5K | 2.3K |
| 2019 | $163.07 | $83.31 | 1.96x | $79.76 | $295.4K | 4.2K | 1.9K |
| 2020 | $133.99 | $73.59 | 1.82x | $60.40 | $208.2K | 3.2K | 1.8K |
| 2021 | $124.68 | $84.31 | 1.48x | $40.37 | $264.1K | 3.4K | 1.9K |
| 2022 | $428.27 | $296.11 | 1.45x | $132.16 | $404.3K | 3.5K | 2.1K |
| 2023 | $437.31 | $293.58 | 1.49x | $143.73 | $410.6K | 3.9K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for insertion of needle | 4.4K | $388.8K | $87.47 | 1.55x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 5.1K | $266.0K | $52.36 | 2.66x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 970 | $212.9K | $219.53 | 1.49x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 1.7K | $194.8K | $111.42 | 1.51x |
| L8679 | Implantable neurostimulator, pulse generator, any type | 27 | $180.3K | $6.7K | 1.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.9K | $179.9K | $36.53 | 1.73x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 2.2K | $152.0K | $69.07 | 1.66x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 670 | $149.9K | $223.76 | 1.72x |
| 98925 | Osteopathic manipulative treatment to 1-2 body regions | 5.6K | $147.0K | $26.37 | 1.64x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $145.9K | $138.27 | 2.04x |
| 98927 | Osteopathic manipulative treatment to 5-6 body regions | 2.8K | $137.2K | $49.27 | 1.48x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 859 | $118.6K | $138.05 | 1.83x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 779 | $97.7K | $125.42 | 1.52x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.6K | $94.7K | $57.62 | 5.28x |
| 93922 | Ultrasound study of arteries of both arms and legs | 957 | $72.6K | $75.83 | 1.67x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 442 | $69.7K | $157.75 | 1.73x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 866 | $64.6K | $74.54 | 1.45x |
| 29530 | Strapping of knee | 2.3K | $54.5K | $24.21 | 2.72x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 828 | $50.6K | $61.07 | 1.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 806 | $50.4K | $62.48 | 1.51x |
This provider submits charges 1.9 times higher than what Medicare actually pays.
A markup ratio of 1.9x means for every $100 Medicare pays, this provider initially charges $190. This is lower 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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