This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $346.39 | $111.39 | 3.11x | $235.00 | $458.3K | 8.1K | 2.5K |
| 2015 | $177.28 | $98.62 | 1.80x | $78.66 | $509.9K | 8.2K | 2.8K |
| 2016 | $184.21 | $105.89 | 1.74x | $78.32 | $642.1K | 9.7K | 2.8K |
| 2017 | $178.68 | $102.98 | 1.74x | $75.70 | $602.6K | 9.1K | 2.8K |
| 2018 | $176.33 | $100.91 | 1.75x | $75.42 | $536.0K | 8.3K | 2.5K |
| 2019 | $175.08 | $96.97 | 1.81x | $78.11 | $546.4K | 8.5K | 2.6K |
| 2020 | $128.17 | $87.42 | 1.47x | $40.75 | $442.3K | 6.7K | 2.1K |
| 2021 | $129.36 | $95.87 | 1.35x | $33.49 | $510.0K | 6.6K | 2.2K |
| 2022 | $129.99 | $95.71 | 1.36x | $34.28 | $469.9K | 6.0K | 2.1K |
| 2023 | $136.99 | $96.56 | 1.42x | $40.43 | $411.2K | 5.2K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.3K | $1.2M | $96.02 | 1.58x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 7.8K | $882.7K | $113.56 | 1.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.7K | $838.0K | $65.79 | 1.67x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.9K | $662.7K | $135.11 | 1.51x |
| 51700 | Bladder irrigation and/or instillation | 8.8K | $610.0K | $69.28 | 1.65x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $186.5K | $138.15 | 1.71x |
| 51701 | Insertion of temporary bladder catheter | 3.5K | $151.7K | $42.82 | 1.64x |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.7K | $115.7K | $42.84 | 1.30x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 322 | $101.7K | $315.87 | 1.55x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 566 | $97.5K | $172.18 | 1.61x |
| 57160 | Fitting and insertion of vaginal support device | 830 | $52.8K | $63.58 | 1.75x |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 956 | $47.4K | $49.60 | 1.29x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 89 | $40.9K | $459.41 | 2.36x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 322 | $38.8K | $120.55 | 1.54x |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 8.7K | $35.2K | $4.04 | 1.88x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 150 | $25.8K | $171.95 | 1.64x |
| A4562 | Pessary, non rubber, any type | 518 | $22.9K | $44.12 | 1.60x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 322 | $16.8K | $52.13 | 3.79x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 176 | $6.5K | $36.74 | 2.49x |
| 57260 | Plastic repair of vagina and tissue separating vagina, rectum, and bladder | 11 | $5.7K | $522.35 | 3.52x |
This provider submits charges 1.61 times higher than what Medicare actually pays.
A markup ratio of 1.61x means for every $100 Medicare pays, this provider initially charges $161. 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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