This provider's $7.1M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 482% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2546% in 2019
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 | $146.65 | $72.95 | 2.01x | $73.70 | $240.2K | 2.7K | 481 |
| 2015 | $173.22 | $91.20 | 1.90x | $82.02 | $759.6K | 7.2K | 667 |
| 2016 | $174.48 | $89.71 | 1.94x | $84.77 | $559.7K | 4.6K | 457 |
| 2017 | $145.60 | $61.19 | 2.38x | $84.41 | $13.5K | 231 | 154 |
| 2018 | $160.50 | $61.22 | 2.62x | $99.28 | $13.8K | 233 | 157 |
| 2019 | $197.34 | $103.11 | 1.91x | $94.23 | $365.2K | 3.7K | 519 |
| 2020 | $190.38 | $96.65 | 1.97x | $93.73 | $725.1K | 6.6K | 536 |
| 2021 | $170.77 | $89.38 | 1.91x | $81.39 | $1.3M | 12.7K | 953 |
| 2022 | $171.85 | $92.13 | 1.87x | $79.72 | $1.7M | 16.7K | 779 |
| 2023 | $199.22 | $75.52 | 2.64x | $123.70 | $1.4M | 14.4K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99350 | Established patient home visit, typically 60 minutes | 25.3K | $3.6M | $142.46 | 1.27x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 14.1K | $2.2M | $157.89 | 1.27x |
| 94668 | Manual maneuvers to chest wall to assist movement of lung secretions | 19.8K | $470.3K | $23.72 | 1.26x |
| 99349 | Established patient home visit, typically 40 minutes | 2.1K | $223.9K | $108.34 | 1.53x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 1.7K | $190.3K | $112.14 | 1.61x |
| 31502 | Change of breathing tube of windpipe in neck | 2.8K | $66.7K | $23.73 | 1.26x |
| 99344 | New patient home visit, typically 60 minutes | 451 | $66.4K | $147.31 | 1.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $59.7K | $56.25 | 3.03x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 674 | $41.5K | $61.62 | 2.61x |
| 99328 | New patient assisted living visit, typically 75 minutes | 146 | $25.8K | $176.39 | 1.42x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 192 | $21.9K | $114.18 | 2.81x |
| 99327 | New patient assisted living visit, typically 60 minutes | 100 | $15.1K | $150.93 | 1.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 161 | $14.0K | $87.07 | 2.74x |
| 99238 | Hospital discharge day management, 30 minutes or less | 90 | $5.7K | $63.86 | 2.86x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 36 | $3.2K | $89.08 | 2.89x |
| 90662 | Vaccine for influenza for injection into muscle | 61 | $2.5K | $41.74 | 1.80x |
| 90670 | Pneumococcal vaccine for injection into muscle | 14 | $2.4K | $169.69 | 1.64x |
| G0008 | Administration of influenza virus vaccine | 88 | $2.3K | $25.71 | 1.79x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 22 | $1.9K | $84.61 | 2.52x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 36 | $1.3K | $36.71 | 3.02x |
This provider submits charges 1.32 times higher than what Medicare actually pays.
A markup ratio of 1.32x means for every $100 Medicare pays, this provider initially charges $132. 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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