This provider averages 68 services per working day
Based on 170.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.6M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Averaging 68 services per working day raises questions about billing patterns.
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 | $155.63 | $74.13 | 2.10x | $81.50 | $1.1M | 18.4K | 6.3K |
| 2015 | $166.23 | $75.70 | 2.20x | $90.53 | $1.1M | 18.8K | 6.3K |
| 2016 | $164.32 | $75.83 | 2.17x | $88.49 | $1.2M | 20.2K | 6.6K |
| 2017 | $169.69 | $79.29 | 2.14x | $90.40 | $1.3M | 20.1K | 6.6K |
| 2018 | $172.28 | $79.60 | 2.16x | $92.68 | $1.3M | 18.6K | 6.1K |
| 2019 | $171.02 | $82.24 | 2.08x | $88.78 | $1.3M | 18.7K | 6.1K |
| 2020 | $168.19 | $83.90 | 2.00x | $84.29 | $1.3M | 17.5K | 5.4K |
| 2021 | $181.23 | $93.96 | 1.93x | $87.27 | $1.2M | 14.9K | 4.8K |
| 2022 | $171.63 | $89.04 | 1.93x | $82.59 | $975.3K | 12.8K | 3.8K |
| 2023 | $183.17 | $87.40 | 2.10x | $95.77 | $759.9K | 10.3K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 19.8K | $4.5M | $229.47 | 2.35x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.4K | $2.1M | $80.93 | 1.92x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 13.1K | $1.1M | $82.61 | 1.57x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 17.1K | $969.4K | $56.58 | 1.59x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.2K | $491.7K | $155.96 | 1.60x |
| 90935 | Hemodialysis procedure with one physician evaluation | 7.9K | $449.3K | $56.80 | 2.27x |
| 90937 | Hemodialysis procedure with repeated evaluations | 3.5K | $286.2K | $81.65 | 2.58x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.1K | $220.9K | $106.17 | 1.88x |
| 76770 | Ultrasound behind abdominal cavity | 2.0K | $160.6K | $81.13 | 4.26x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $148.6K | $106.52 | 1.68x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 728 | $140.5K | $192.97 | 2.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $132.4K | $53.96 | 1.89x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5K | $123.3K | $82.38 | 1.82x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 683 | $120.7K | $176.70 | 2.77x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 16.0K | $98.7K | $6.15 | 2.44x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 419 | $65.5K | $156.35 | 1.97x |
| 85018 | Hemoglobin measurement | 18.5K | $51.5K | $2.78 | 3.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 384 | $44.7K | $116.41 | 1.97x |
| 82044 | Urine microalbumin (protein) analysis | 7.2K | $43.6K | $6.09 | 2.46x |
| 36415 | Insertion of needle into vein for collection of blood sample | 11.1K | $36.3K | $3.26 | 4.60x |
This provider submits charges 2.11 times higher than what Medicare actually pays.
A markup ratio of 2.11x means for every $100 Medicare pays, this provider initially charges $211. 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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