This provider averages 117 services per working day
Based on 292.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Averaging 117 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 129% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 73% in 2021
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 | $76.73 | $27.50 | 2.79x | $49.23 | $476.2K | 17.3K | 10.3K |
| 2015 | $70.15 | $26.64 | 2.63x | $43.51 | $449.0K | 16.7K | 9.6K |
| 2016 | $74.60 | $30.35 | 2.46x | $44.25 | $438.8K | 16.0K | 9.4K |
| 2017 | $93.79 | $34.79 | 2.70x | $59.00 | $451.5K | 15.4K | 8.9K |
| 2018 | $91.96 | $30.63 | 3.00x | $61.33 | $398.8K | 13.7K | 8.3K |
| 2019 | $92.12 | $30.46 | 3.02x | $61.66 | $397.6K | 14.1K | 8.6K |
| 2020 | $86.00 | $28.03 | 3.07x | $57.97 | $358.5K | 14.7K | 9.8K |
| 2021 | $56.59 | $21.04 | 2.69x | $35.55 | $619.3K | 38.9K | 31.4K |
| 2022 | $55.77 | $18.92 | 2.95x | $36.85 | $925.4K | 65.2K | 47.2K |
| 2023 | $57.97 | $19.10 | 3.04x | $38.87 | $1.1M | 80.3K | 57.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.1K | $1.8M | $88.83 | 2.30x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 25.4K | $457.4K | $17.98 | 2.67x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 30.4K | $410.3K | $13.51 | 3.18x |
| 80053 | Blood test, comprehensive group of blood chemicals | 37.7K | $403.2K | $10.69 | 2.99x |
| 82306 | Vitamin D-3 level | 11.0K | $355.9K | $32.38 | 2.63x |
| 77080 | Bone density measurement using dedicated X-ray machine | 7.1K | $336.0K | $47.46 | 5.43x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 27.1K | $218.3K | $8.04 | 5.35x |
| 83036 | Hemoglobin A1C level | 20.4K | $207.0K | $10.15 | 3.15x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 7.7K | $126.7K | $16.40 | 2.74x |
| 84439 | Thyroxine (thyroid chemical) measurement | 11.0K | $111.3K | $10.12 | 3.36x |
| 76536 | Ultrasound of head and neck | 1.1K | $111.2K | $98.87 | 2.15x |
| 36415 | Insertion of needle into vein for collection of blood sample | 25.1K | $96.0K | $3.82 | 3.40x |
| 83970 | Parathormone (parathyroid hormone) level | 1.8K | $80.4K | $45.81 | 2.24x |
| 77081 | Bone density measurement using dedicated X-ray machine | 2.0K | $67.0K | $33.38 | 4.05x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 461 | $55.6K | $120.53 | 2.06x |
| 82043 | Urine microalbumin (protein) level | 8.4K | $51.3K | $6.09 | 6.40x |
| 84153 | PSA (prostate specific antigen) measurement | 2.2K | $47.4K | $21.65 | 2.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 358 | $47.1K | $131.65 | 2.24x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 2.3K | $45.3K | $19.53 | 3.62x |
| 82728 | Ferritin (blood protein) level | 3.0K | $42.5K | $14.05 | 2.99x |
This provider submits charges 2.97 times higher than what Medicare actually pays.
A markup ratio of 2.97x means for every $100 Medicare pays, this provider initially charges $297. 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.
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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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