This provider averages 136 services per working day
Based on 340.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.0M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 136 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 148% 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 | $106.00 | $46.84 | 2.26x | $59.16 | $941.0K | 27.0K | 3.5K |
| 2015 | $95.31 | $41.70 | 2.29x | $53.61 | $882.6K | 26.4K | 3.2K |
| 2016 | $100.18 | $44.70 | 2.24x | $55.48 | $897.4K | 28.2K | 3.0K |
| 2017 | $115.67 | $53.10 | 2.18x | $62.57 | $896.3K | 26.5K | 3.4K |
| 2018 | $120.83 | $56.04 | 2.16x | $64.79 | $1.2M | 30.3K | 4.3K |
| 2019 | $119.57 | $58.17 | 2.06x | $61.40 | $1.6M | 38.8K | 4.2K |
| 2020 | $114.80 | $55.03 | 2.09x | $59.77 | $1.6M | 36.9K | 4.1K |
| 2021 | $115.92 | $56.19 | 2.06x | $59.73 | $1.7M | 38.4K | 4.7K |
| 2022 | $136.35 | $57.21 | 2.38x | $79.14 | $1.9M | 41.8K | 6.5K |
| 2023 | $137.69 | $59.97 | 2.30x | $77.72 | $2.3M | 46.3K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 43.2K | $2.3M | $53.82 | 2.54x |
| 96521 | Refilling and maintenance of portable pump | 19.3K | $2.1M | $110.99 | 1.97x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 35.9K | $2.1M | $58.54 | 2.93x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.2K | $1.6M | $91.74 | 1.70x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.1K | $956.7K | $85.93 | 2.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 8.1K | $951.4K | $117.56 | 1.70x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.4K | $689.0K | $155.63 | 1.93x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.4K | $581.3K | $78.39 | 2.67x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 22.6K | $357.9K | $15.83 | 5.34x |
| 96416 | Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours | 3.1K | $334.5K | $106.91 | 2.47x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 13.8K | $327.7K | $23.78 | 3.07x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 18.9K | $270.5K | $14.30 | 3.27x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 2.1K | $236.1K | $113.53 | 2.11x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.7K | $232.4K | $136.13 | 2.20x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.9K | $211.2K | $108.53 | 2.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $170.9K | $59.00 | 1.73x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 963 | $154.8K | $160.72 | 1.83x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 681 | $89.0K | $130.70 | 1.66x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 629 | $65.3K | $103.81 | 2.48x |
| J3370 | Injection, vancomycin hcl, 500 mg | 22.0K | $51.1K | $2.32 | 4.32x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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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