This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 54% 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 | $106.61 | $56.14 | 1.90x | $50.47 | $803.7K | 13.8K | 5.9K |
| 2015 | $110.01 | $60.76 | 1.81x | $49.25 | $885.2K | 13.6K | 6.6K |
| 2016 | $110.24 | $59.22 | 1.86x | $51.02 | $971.8K | 15.0K | 6.7K |
| 2017 | $120.65 | $64.63 | 1.87x | $56.02 | $927.6K | 11.7K | 5.8K |
| 2018 | $115.42 | $63.15 | 1.83x | $52.27 | $814.4K | 10.1K | 5.4K |
| 2019 | $108.92 | $56.79 | 1.92x | $52.13 | $830.8K | 10.5K | 5.4K |
| 2020 | $118.99 | $71.63 | 1.66x | $47.36 | $824.4K | 10.2K | 4.9K |
| 2021 | $121.65 | $67.87 | 1.79x | $53.78 | $1.0M | 11.0K | 4.9K |
| 2022 | $131.77 | $70.49 | 1.87x | $61.28 | $1.1M | 12.2K | 5.6K |
| 2023 | $119.86 | $66.43 | 1.80x | $53.43 | $1.2M | 14.4K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 38.4K | $3.3M | $85.63 | 1.61x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 13.1K | $1.6M | $122.27 | 1.59x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 14.3K | $1.1M | $78.97 | 1.90x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 8.2K | $702.3K | $86.17 | 1.45x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 4.1K | $527.3K | $130.10 | 1.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.1K | $333.7K | $160.84 | 1.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.6K | $307.8K | $116.85 | 1.71x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $246.1K | $153.88 | 1.68x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.4K | $190.1K | $139.86 | 1.57x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9K | $175.1K | $89.93 | 1.67x |
| 90662 | Vaccine for influenza for injection into muscle | 3.0K | $114.5K | $37.60 | 1.06x |
| G0008 | Administration of influenza virus vaccine | 3.9K | $97.3K | $24.81 | 1.27x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 508 | $65.7K | $129.36 | 2.71x |
| 99496 | Transitional care management services for problem of high complexity | 230 | $54.2K | $235.65 | 1.27x |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.0K | $52.9K | $26.92 | 1.54x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 248 | $44.8K | $180.82 | 1.24x |
| 69210 | Removal of impact ear wax, one ear | 1.1K | $40.8K | $38.82 | 1.93x |
| 99406 | Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes | 1.9K | $26.4K | $13.74 | 1.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 445 | $26.0K | $58.38 | 1.85x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.4K | $25.7K | $17.74 | 1.69x |
This provider submits charges 1.66 times higher than what Medicare actually pays.
A markup ratio of 1.66x means for every $100 Medicare pays, this provider initially charges $166. This is lower 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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