This provider averages 79 services per working day
Based on 198.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 79 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 130% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $85.22 | $28.09 | 3.03x | $57.13 | $262.3K | 14.9K | 10.8K |
| 2015 | $85.02 | $26.55 | 3.20x | $58.47 | $270.9K | 15.9K | 11.5K |
| 2016 | $73.33 | $24.01 | 3.05x | $49.32 | $297.0K | 17.1K | 12.2K |
| 2017 | $71.97 | $26.39 | 2.73x | $45.58 | $391.0K | 19.2K | 13.8K |
| 2018 | $76.12 | $28.41 | 2.68x | $47.71 | $477.9K | 20.8K | 15.3K |
| 2019 | $71.54 | $26.46 | 2.70x | $45.08 | $477.3K | 22.6K | 16.9K |
| 2020 | $78.09 | $28.81 | 2.71x | $49.28 | $395.3K | 18.4K | 14.9K |
| 2021 | $82.18 | $30.58 | 2.69x | $51.60 | $572.4K | 22.4K | 17.0K |
| 2022 | $85.85 | $31.51 | 2.72x | $54.34 | $574.2K | 22.9K | 17.3K |
| 2023 | $91.13 | $31.68 | 2.88x | $59.45 | $603.7K | 23.9K | 17.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.1K | $538.8K | $48.50 | 2.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.8K | $537.5K | $68.95 | 2.97x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 4.5K | $517.5K | $116.19 | 1.85x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.9K | $382.4K | $99.21 | 2.77x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 9.8K | $185.0K | $18.97 | 3.43x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.1K | $167.8K | $157.83 | 2.06x |
| 82306 | Vitamin D-3 level | 4.5K | $149.5K | $33.56 | 2.41x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 11.7K | $142.3K | $12.19 | 4.43x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 14.2K | $125.1K | $8.80 | 3.75x |
| 71046 | X-ray of chest, 2 views | 5.4K | $110.1K | $20.32 | 2.80x |
| 84403 | Testosterone (hormone) level | 3.4K | $99.0K | $28.87 | 3.53x |
| 80053 | Blood test, comprehensive group of blood chemicals | 8.7K | $89.2K | $10.30 | 3.50x |
| 90670 | Pneumococcal vaccine for injection into muscle | 411 | $81.3K | $197.84 | 1.49x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.9K | $72.0K | $10.38 | 5.98x |
| 36415 | Insertion of needle into vein for collection of blood sample | 18.5K | $66.8K | $3.61 | 5.53x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 424 | $66.2K | $156.15 | 2.02x |
| G0444 | Annual depression screening, 15 minutes | 3.8K | $65.4K | $16.98 | 1.77x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 2.9K | $59.8K | $20.78 | 3.13x |
| 80048 | Blood test, basic group of blood chemicals | 8.0K | $57.4K | $7.15 | 4.20x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.5K | $53.5K | $36.48 | 8.22x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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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