This provider averages 72 services per working day
Based on 180.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 72 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 51% from 2014 to 2023.
62% of their billing comes from a single procedure code (99213 — Established patient office or other outpatient visit, typically 15 minutes).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% 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 | $152.76 | $56.78 | 2.69x | $95.98 | $708.8K | 16.3K | 3.9K |
| 2015 | $187.91 | $62.22 | 3.02x | $125.69 | $255.1K | 5.0K | 1.8K |
| 2016 | $115.98 | $46.55 | 2.49x | $69.43 | $476.3K | 12.4K | 4.3K |
| 2017 | $122.88 | $42.02 | 2.92x | $80.86 | $555.7K | 15.4K | 4.7K |
| 2018 | $114.34 | $41.23 | 2.77x | $73.11 | $584.5K | 16.4K | 5.0K |
| 2019 | $119.55 | $42.64 | 2.80x | $76.91 | $691.5K | 19.4K | 5.9K |
| 2020 | $125.89 | $53.80 | 2.34x | $72.09 | $719.0K | 17.1K | 6.1K |
| 2021 | $116.30 | $50.40 | 2.31x | $65.90 | $1.1M | 22.9K | 8.4K |
| 2022 | $294.10 | $158.39 | 1.86x | $135.71 | $1.5M | 26.1K | 9.6K |
| 2023 | $136.14 | $42.52 | 3.20x | $93.62 | $1.1M | 29.3K | 9.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 63.9K | $4.5M | $70.80 | 1.58x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.5K | $441.5K | $46.53 | 1.61x |
| Q0222 | Injection, bebtelovimab, 175 mg | 126 | $290.9K | $2.3K | 1.73x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 17.8K | $286.1K | $16.06 | 3.11x |
| 99348 | Established patient home visit, typically 25 minutes | 3.7K | $263.6K | $71.67 | 1.74x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.6K | $232.8K | $90.92 | 1.37x |
| 87635 | Sars-cov-2 covid-19 amp prb | 4.5K | $230.4K | $51.18 | 2.93x |
| 87426 | Coronavirus ag ia | 4.5K | $157.7K | $35.05 | 5.59x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $147.6K | $93.65 | 1.52x |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | 263 | $112.5K | $427.64 | 1.67x |
| 99349 | Established patient home visit, typically 40 minutes | 959 | $109.9K | $114.61 | 1.31x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1.3K | $77.1K | $60.80 | 1.97x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 694 | $73.5K | $105.93 | 1.65x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 461 | $72.2K | $156.72 | 6.35x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 340 | $59.8K | $176.00 | 1.98x |
| 76700 | Ultrasound of abdomen | 441 | $49.5K | $112.21 | 3.56x |
| 87880 | Strep test (Streptococcus, group A) | 3.0K | $47.8K | $15.69 | 3.10x |
| 36415 | Insertion of needle into vein for collection of blood sample | 12.9K | $47.3K | $3.66 | 2.73x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.2K | $46.6K | $14.40 | 5.21x |
| 90662 | Vaccine for influenza for injection into muscle | 868 | $42.7K | $49.18 | 1.02x |
This provider submits charges 2.02 times higher than what Medicare actually pays.
A markup ratio of 2.02x means for every $100 Medicare pays, this provider initially charges $202. This is higher 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