This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Geriatric Medicine providers nationally.
Medicare payments to this provider grew 82% 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 | $91.70 | $55.72 | 1.65x | $35.98 | $263.1K | 4.5K | 3.0K |
| 2015 | $99.00 | $60.65 | 1.63x | $38.35 | $378.5K | 5.8K | 4.1K |
| 2016 | $104.26 | $66.59 | 1.57x | $37.67 | $318.0K | 5.2K | 3.4K |
| 2017 | $100.82 | $62.61 | 1.61x | $38.21 | $317.2K | 5.1K | 3.4K |
| 2018 | $110.26 | $72.03 | 1.53x | $38.23 | $465.9K | 5.8K | 4.3K |
| 2019 | $106.12 | $68.43 | 1.55x | $37.69 | $371.5K | 5.0K | 3.5K |
| 2020 | $109.80 | $57.45 | 1.91x | $52.35 | $400.1K | 5.3K | 3.7K |
| 2021 | $114.92 | $69.05 | 1.66x | $45.87 | $513.7K | 7.0K | 3.8K |
| 2022 | $114.87 | $67.63 | 1.70x | $47.24 | $566.6K | 8.3K | 4.7K |
| 2023 | $113.32 | $67.49 | 1.68x | $45.83 | $478.9K | 7.7K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.2K | $1.6M | $74.36 | 2.39x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.6K | $510.0K | $110.29 | 1.79x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.6K | $421.3K | $115.94 | 1.03x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.1K | $237.4K | $208.83 | 1.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.3K | $223.0K | $51.63 | 2.18x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 800 | $145.3K | $181.64 | 1.10x |
| 90670 | Pneumococcal vaccine for injection into muscle | 813 | $137.9K | $169.58 | 1.03x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 1.4K | $119.3K | $85.64 | 2.04x |
| G0008 | Administration of influenza virus vaccine | 3.5K | $79.0K | $22.84 | 1.09x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.4K | $59.3K | $41.26 | 2.42x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 1.2K | $51.1K | $41.50 | 2.41x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 650 | $37.3K | $57.45 | 2.18x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 1.1K | $37.0K | $33.84 | 2.36x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 250 | $33.9K | $135.46 | 1.85x |
| G0444 | Annual depression screening, 15 minutes | 1.6K | $32.6K | $19.75 | 2.53x |
| 90662 | Vaccine for influenza for injection into muscle | 554 | $30.3K | $54.61 | 1.14x |
| G0009 | Administration of pneumococcal vaccine | 1.2K | $27.7K | $23.74 | 1.05x |
| 90682 | Vaccine for influenza for injection into muscle | 436 | $24.2K | $55.55 | 1.53x |
| 90653 | Vaccine for influenza for injection into muscle | 453 | $24.0K | $52.92 | 1.13x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.8K | $23.6K | $13.22 | 4.23x |
This provider submits charges 1.93 times higher than what Medicare actually pays.
A markup ratio of 1.93x means for every $100 Medicare pays, this provider initially charges $193. 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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