This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 1118% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1431% in 2016
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 | $156.15 | $61.93 | 2.52x | $94.22 | $75.8K | 1.0K | 433 |
| 2015 | $166.73 | $80.61 | 2.07x | $86.12 | $21.3K | 243 | 157 |
| 2016 | $168.92 | $86.54 | 1.95x | $82.38 | $325.8K | 4.3K | 3.4K |
| 2017 | $181.60 | $94.77 | 1.92x | $86.83 | $484.5K | 5.9K | 4.5K |
| 2018 | $144.17 | $70.16 | 2.05x | $74.01 | $358.1K | 4.8K | 1.8K |
| 2019 | $144.17 | $73.25 | 1.97x | $70.92 | $583.9K | 7.6K | 2.6K |
| 2020 | $167.00 | $90.52 | 1.84x | $76.48 | $484.7K | 6.1K | 2.2K |
| 2021 | $167.00 | $89.88 | 1.86x | $77.12 | $498.1K | 6.2K | 2.4K |
| 2022 | $172.50 | $90.23 | 1.91x | $82.27 | $706.6K | 9.0K | 3.4K |
| 2023 | $190.71 | $101.33 | 1.88x | $89.38 | $922.8K | 11.6K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 28.1K | $2.4M | $87.18 | 1.67x |
| G0179 | Physician re-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 im | 9.3K | $328.0K | $35.25 | 2.13x |
| 99344 | New patient home visit, typically 60 minutes | 2.3K | $295.2K | $130.32 | 2.30x |
| 99350 | Established patient home visit, typically 60 minutes | 2.1K | $290.1K | $137.88 | 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 | 5.5K | $248.0K | $45.12 | 2.55x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.1K | $222.6K | $104.90 | 1.95x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 534 | $93.6K | $175.23 | 1.71x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 353 | $66.6K | $188.73 | 1.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 801 | $43.3K | $54.00 | 2.07x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 294 | $42.3K | $143.92 | 1.81x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 228 | $38.5K | $169.04 | 1.33x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 222 | $34.1K | $153.48 | 1.69x |
| 76700 | Ultrasound of abdomen | 313 | $30.6K | $97.68 | 1.77x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 164 | $24.3K | $148.29 | 2.36x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 189 | $22.4K | $118.50 | 1.69x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 180 | $21.6K | $119.83 | 2.42x |
| 93923 | Ultrasound study of arteries of both arms and legs | 185 | $21.4K | $115.66 | 2.16x |
| 94750 | Measurement of lung stretching capacity | 269 | $18.1K | $67.32 | 1.71x |
| 76770 | Ultrasound behind abdominal cavity | 186 | $17.6K | $94.71 | 1.69x |
| 93922 | Ultrasound study of arteries of both arms and legs | 220 | $16.5K | $75.00 | 1.93x |
This provider submits charges 1.82 times higher than what Medicare actually pays.
A markup ratio of 1.82x means for every $100 Medicare pays, this provider initially charges $182. 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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