This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 688% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 708% in 2017
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 | $208.86 | $94.55 | 2.21x | $114.31 | $74.7K | 1.1K | 572 |
| 2015 | $213.64 | $96.70 | 2.21x | $116.94 | $79.3K | 859 | 602 |
| 2016 | $212.34 | $89.44 | 2.37x | $122.90 | $72.1K | 1.0K | 540 |
| 2017 | $261.17 | $93.28 | 2.80x | $167.89 | $583.0K | 6.1K | 2.3K |
| 2018 | $275.00 | $100.67 | 2.73x | $174.33 | $497.4K | 5.1K | 2.3K |
| 2019 | $141.67 | $96.51 | 1.47x | $45.16 | $279.0K | 3.5K | 1.2K |
| 2020 | $149.99 | $98.86 | 1.52x | $51.13 | $395.1K | 5.1K | 1.5K |
| 2021 | $169.72 | $104.97 | 1.62x | $64.75 | $409.5K | 4.9K | 2.1K |
| 2022 | $180.89 | $105.89 | 1.71x | $75.00 | $483.2K | 5.6K | 2.7K |
| 2023 | $178.02 | $109.48 | 1.63x | $68.54 | $588.6K | 6.0K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 12.7K | $824.3K | $65.13 | 1.64x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.6K | $641.8K | $84.91 | 2.06x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 3.2K | $505.6K | $156.57 | 1.55x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.3K | $498.6K | $94.72 | 2.59x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $286.4K | $182.78 | 1.91x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.0K | $193.9K | $64.68 | 2.53x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 2.4K | $191.8K | $78.46 | 1.57x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.2K | $128.2K | $105.37 | 1.66x |
| 99238 | Hospital discharge day management, 30 minutes or less | 872 | $57.8K | $66.24 | 3.19x |
| 99239 | Hospital discharge day management, more than 30 minutes | 308 | $30.0K | $97.25 | 2.75x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 256 | $29.6K | $115.78 | 1.51x |
| 99220 | Hospital observation care typically 70 minutes per day | 91 | $14.9K | $163.68 | 2.26x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 263 | $10.5K | $40.01 | 2.17x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 79 | $9.8K | $124.05 | 2.07x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 251 | $8.8K | $35.18 | 2.42x |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | 99 | $8.7K | $88.24 | 1.98x |
| 99217 | Hospital observation care discharge | 72 | $4.7K | $65.06 | 2.46x |
| 99327 | New patient custodial care facility, group care, or assisted living visit, typically 1 hour | 25 | $4.3K | $170.26 | 1.62x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 23 | $3.9K | $169.45 | 1.37x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 26 | $3.4K | $130.19 | 1.96x |
This provider submits charges 1.96 times higher than what Medicare actually pays.
A markup ratio of 1.96x means for every $100 Medicare pays, this provider initially charges $196. 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.
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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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