This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 821% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 121% in 2022
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 | $78.00 | $38.73 | 2.01x | $39.27 | $114.6K | 2.9K | 1.5K |
| 2015 | $86.09 | $37.03 | 2.32x | $49.06 | $135.1K | 3.3K | 1.8K |
| 2016 | $75.88 | $31.29 | 2.43x | $44.59 | $127.7K | 3.1K | 1.6K |
| 2017 | $75.90 | $34.61 | 2.19x | $41.29 | $142.8K | 3.3K | 1.8K |
| 2018 | $89.73 | $41.79 | 2.15x | $47.94 | $161.6K | 3.4K | 1.9K |
| 2019 | $82.64 | $44.81 | 1.84x | $37.83 | $177.3K | 3.4K | 1.9K |
| 2020 | $85.61 | $42.62 | 2.01x | $42.99 | $175.2K | 2.9K | 1.7K |
| 2021 | $98.34 | $55.35 | 1.78x | $42.99 | $370.5K | 5.8K | 2.8K |
| 2022 | $97.40 | $51.24 | 1.90x | $46.16 | $817.4K | 15.0K | 4.2K |
| 2023 | $99.22 | $52.07 | 1.91x | $47.15 | $1.1M | 19.8K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.8K | $606.8K | $61.79 | 1.74x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.6K | $510.9K | $91.08 | 1.81x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 6.8K | $394.2K | $57.83 | 1.73x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 5.9K | $331.7K | $56.52 | 1.77x |
| 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 | 6.2K | $291.9K | $46.88 | 2.13x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.1K | $284.3K | $137.63 | 1.34x |
| 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 | 5.6K | $209.7K | $37.46 | 2.67x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 3.4K | $155.6K | $45.41 | 2.21x |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | 1.6K | $79.5K | $50.90 | 1.98x |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 440 | $56.7K | $128.87 | 1.55x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 576 | $42.6K | $73.95 | 2.67x |
| 83036 | Hemoglobin A1C level | 3.6K | $40.0K | $11.24 | 2.72x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 190 | $33.4K | $175.68 | 1.51x |
| G0008 | Administration of influenza virus vaccine | 1.3K | $32.4K | $25.82 | 1.35x |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 440 | $29.9K | $67.94 | 1.49x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 546 | $26.5K | $48.57 | 2.61x |
| 90674 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 532 | $15.1K | $28.37 | 1.42x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 204 | $14.9K | $72.81 | 1.68x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 586 | $9.9K | $16.88 | 2.91x |
| 69210 | Removal of impact ear wax, one ear | 229 | $9.2K | $40.32 | 1.86x |
This provider submits charges 1.91 times higher than what Medicare actually pays.
A markup ratio of 1.91x means for every $100 Medicare pays, this provider initially charges $191. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data