This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 277% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $147.94 | $45.87 | 3.23x | $102.07 | $226.6K | 8.3K | 4.7K |
| 2015 | $149.80 | $46.14 | 3.25x | $103.66 | $260.3K | 9.0K | 5.3K |
| 2016 | $149.22 | $48.72 | 3.06x | $100.50 | $284.5K | 9.2K | 5.2K |
| 2017 | $172.53 | $57.40 | 3.01x | $115.13 | $299.3K | 9.4K | 5.3K |
| 2018 | $168.43 | $58.50 | 2.88x | $109.93 | $308.8K | 9.5K | 5.7K |
| 2019 | $168.88 | $59.62 | 2.83x | $109.26 | $433.1K | 11.4K | 6.3K |
| 2020 | $146.75 | $47.13 | 3.11x | $99.62 | $412.6K | 8.9K | 4.4K |
| 2021 | $131.86 | $65.33 | 2.02x | $66.53 | $561.8K | 7.9K | 1.9K |
| 2022 | $143.46 | $69.99 | 2.05x | $73.47 | $728.5K | 10.1K | 2.2K |
| 2023 | $139.14 | $70.46 | 1.97x | $68.68 | $855.2K | 10.3K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 17.8K | $1.2M | $64.89 | 2.70x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 8.0K | $711.4K | $88.83 | 2.14x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $585.5K | $89.42 | 1.98x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.0K | $305.0K | $60.40 | 1.84x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.1K | $170.8K | $151.71 | 1.65x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.1K | $150.1K | $131.08 | 1.83x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 736 | $98.7K | $134.14 | 1.22x |
| 82306 | Vitamin D-3 level | 2.4K | $89.5K | $37.51 | 2.18x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 744 | $77.9K | $104.77 | 2.38x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 3.1K | $66.3K | $21.06 | 4.27x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 360 | $64.8K | $180.05 | 4.86x |
| 84480 | Thyroid hormone, T3 measurement | 3.1K | $55.8K | $17.76 | 2.82x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 3.2K | $45.6K | $14.44 | 4.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 325 | $44.5K | $136.88 | 1.68x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 268 | $40.5K | $151.30 | 3.30x |
| 90670 | Pneumococcal vaccine for injection into muscle | 225 | $39.6K | $176.17 | 1.06x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 4.0K | $39.2K | $9.74 | 2.57x |
| 83036 | Hemoglobin A1C level | 3.1K | $37.7K | $12.14 | 4.28x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 219 | $37.5K | $171.21 | 1.80x |
| 80053 | Blood test, comprehensive group of blood chemicals | 3.8K | $37.5K | $9.87 | 3.80x |
This provider submits charges 2.48 times higher than what Medicare actually pays.
A markup ratio of 2.48x means for every $100 Medicare pays, this provider initially charges $248. 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.
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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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