This provider averages 69 services per working day
Based on 172.6K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Averaging 69 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $83.26 | $47.08 | 1.77x | $36.18 | $631.4K | 19.1K | 9.4K |
| 2015 | $86.87 | $49.60 | 1.75x | $37.27 | $671.8K | 20.4K | 9.7K |
| 2016 | $87.30 | $49.15 | 1.78x | $38.15 | $707.5K | 20.3K | 10.2K |
| 2017 | $93.60 | $61.96 | 1.51x | $31.64 | $975.7K | 20.0K | 8.7K |
| 2018 | $97.61 | $58.58 | 1.67x | $39.03 | $949.5K | 22.5K | 9.9K |
| 2019 | $92.21 | $50.62 | 1.82x | $41.59 | $712.0K | 17.3K | 7.8K |
| 2020 | $104.49 | $62.09 | 1.68x | $42.40 | $609.2K | 13.7K | 5.7K |
| 2021 | $102.96 | $63.06 | 1.63x | $39.90 | $666.1K | 13.2K | 5.5K |
| 2022 | $119.99 | $75.08 | 1.60x | $44.91 | $781.1K | 14.6K | 6.3K |
| 2023 | $113.50 | $66.92 | 1.70x | $46.58 | $609.9K | 11.3K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.3K | $1.3M | $99.01 | 1.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.5K | $1.3M | $70.13 | 1.42x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 21.4K | $922.6K | $43.05 | 1.43x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.7K | $305.0K | $182.11 | 1.65x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.5K | $293.9K | $201.29 | 2.24x |
| 83970 | Parathormone (parathyroid hormone) level | 5.6K | $270.7K | $48.27 | 2.07x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 988 | $232.1K | $234.88 | 1.49x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 5.5K | $227.9K | $41.65 | 1.69x |
| 90670 | Pneumococcal vaccine for injection into muscle | 1.2K | $223.1K | $193.68 | 1.16x |
| 82985 | Glycated protein level | 11.0K | $193.8K | $17.70 | 1.70x |
| J1740 | Injection, ibandronate sodium, 1 mg | 2.3K | $187.5K | $81.43 | 2.03x |
| 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 | 3.1K | $150.8K | $48.62 | 2.06x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.4K | $115.2K | $21.36 | 1.88x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 215 | $89.9K | $418.24 | 1.66x |
| 90662 | Vaccine for influenza for injection into muscle | 1.8K | $89.8K | $48.87 | 1.46x |
| 82306 | Vitamin D-3 level | 2.2K | $83.5K | $38.48 | 1.56x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 415 | $72.8K | $175.32 | 1.72x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 3.1K | $67.6K | $21.85 | 1.39x |
| G0008 | Administration of influenza virus vaccine | 2.6K | $66.7K | $25.89 | 1.51x |
| 83013 | Breath test analysis for helicobacter pylori | 833 | $63.2K | $75.92 | 1.13x |
This provider submits charges 1.63 times higher than what Medicare actually pays.
A markup ratio of 1.63x means for every $100 Medicare pays, this provider initially charges $163. 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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