This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Colorectal Surgery (Proctology) providers nationally.
Medicare payments to this provider grew 110% from 2014 to 2023.
80% of their billing comes from a single procedure code (46500 — Injection of hemorrhoids).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% 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 | $177.02 | $130.13 | 1.36x | $46.89 | $418.5K | 2.3K | 963 |
| 2015 | $237.07 | $150.80 | 1.57x | $86.27 | $517.7K | 4.5K | 1.6K |
| 2016 | $240.00 | $111.68 | 2.15x | $128.32 | $403.7K | 4.3K | 1.6K |
| 2017 | $187.74 | $115.02 | 1.63x | $72.72 | $397.4K | 4.5K | 1.9K |
| 2018 | $182.06 | $115.82 | 1.57x | $66.24 | $411.6K | 4.1K | 1.6K |
| 2019 | $190.74 | $120.84 | 1.58x | $69.90 | $639.3K | 4.5K | 1.6K |
| 2020 | $221.95 | $120.31 | 1.84x | $101.64 | $615.3K | 4.0K | 1.4K |
| 2021 | $220.09 | $126.47 | 1.74x | $93.62 | $689.4K | 4.4K | 1.4K |
| 2022 | $223.73 | $127.89 | 1.75x | $95.84 | $814.9K | 5.0K | 1.6K |
| 2023 | $200.80 | $122.02 | 1.65x | $78.78 | $880.5K | 5.4K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 46500 | Injection of hemorrhoids | 19.8K | $4.6M | $233.83 | 1.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 12.4K | $501.5K | $40.41 | 1.29x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 627 | $128.6K | $205.13 | 1.61x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 6.1K | $104.6K | $17.28 | 1.36x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.1K | $67.6K | $60.89 | 1.30x |
| 45380 | Biopsy of large bowel using an endoscope | 338 | $57.8K | $171.04 | 2.50x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 860 | $54.3K | $63.16 | 1.31x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 383 | $43.9K | $114.71 | 1.31x |
| 44385 | Diagnostic examination of defect in wall of small bowel using an endoscope | 232 | $38.4K | $165.65 | 1.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 488 | $32.5K | $66.70 | 1.30x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 159 | $32.0K | $201.31 | 1.99x |
| 45300 | Diagnostic examination of rectum and large bowel using an endoscope | 248 | $27.9K | $112.53 | 1.32x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 136 | $21.7K | $159.28 | 2.28x |
| 46930 | Destruction of internal anal hemorrhoids | 62 | $11.1K | $179.70 | 1.43x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 83 | $7.6K | $91.69 | 1.39x |
| 45383 | Removal of polyps or growths in large bowel using an endoscope | 24 | $6.7K | $279.62 | 1.69x |
| G6024 | Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare tehnique | 18 | $5.0K | $276.71 | 1.73x |
| 46600 | Diagnostic examination of the anus using an endoscope | 59 | $4.2K | $71.70 | 1.45x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 11 | $2.9K | $259.84 | 1.29x |
| 46604 | Dilation of anus using an endoscope | 15 | $597.60 | $39.84 | 18.33x |
This provider submits charges 1.34 times higher than what Medicare actually pays.
A markup ratio of 1.34x means for every $100 Medicare pays, this provider initially charges $134. 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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