This provider's $23.6M in total Medicare payments ranks in the 99th percentile of All Other Suppliers providers nationally.
Medicare payments to this provider grew 450% from 2014 to 2023.
89% of their billing comes from a single procedure code (L8619 — Cochlear implant, external speech processor and controller, integrated system, replacement).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2017
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 | $3.95 | $2.40 | 1.65x | $1.55 | $577.8K | 240.3K | 7 |
| 2015 | $4.81 | $2.93 | 1.64x | $1.88 | $917.9K | 313.3K | 7 |
| 2016 | $5.67 | $3.44 | 1.65x | $2.23 | $1.4M | 400.7K | 7 |
| 2017 | $6.46 | $3.98 | 1.62x | $2.48 | $2.3M | 589.6K | 7 |
| 2018 | $6.71 | $4.20 | 1.60x | $2.51 | $2.5M | 595.6K | 7 |
| 2019 | $6.91 | $4.43 | 1.56x | $2.48 | $3.2M | 731.6K | 7 |
| 2020 | $6.19 | $3.86 | 1.60x | $2.33 | $2.3M | 602.0K | 6 |
| 2021 | $12.99 | $8.28 | 1.57x | $4.71 | $3.5M | 424.3K | 6 |
| 2022 | $72.86 | $48.91 | 1.49x | $23.95 | $3.6M | 74.1K | 6 |
| 2023 | $1.5K | $1.1K | 1.39x | $431.16 | $3.2M | 2.9K | 5 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | 3.2K | $21.1M | $6.6K | 1.51x |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each | 4.0M | $1.7M | $0.43 | 2.05x |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each | 3.3K | $401.7K | $120.05 | 1.38x |
| L7510 | Repair of prosthetic device, repair or replace minor parts | 5.3K | $270.6K | $50.75 | 1.72x |
| L8628 | Cochlear implant, external controller component, replacement | 237 | $72.9K | $307.59 | 1.30x |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement | 1.8K | $32.0K | $17.82 | 3.71x |
| L8617 | Transmitting coil for use with cochlear implant device, replacement | 208 | $13.1K | $63.13 | 7.66x |
| L8615 | Headset/headpiece for use with cochlear implant device, replacement | 22 | $8.0K | $362.52 | 1.38x |
This provider submits charges 1.55 times higher than what Medicare actually pays.
A markup ratio of 1.55x means for every $100 Medicare pays, this provider initially charges $155. 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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