This provider averages 68 services per working day
Based on 171.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 68 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 630% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 91% in 2020
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 | $107.01 | $73.80 | 1.45x | $33.21 | $271.8K | 4.1K | 1.6K |
| 2015 | $100.54 | $66.86 | 1.50x | $33.68 | $409.5K | 6.3K | 3.1K |
| 2016 | $119.72 | $69.34 | 1.73x | $50.38 | $678.2K | 10.5K | 5.0K |
| 2017 | $144.72 | $73.18 | 1.98x | $71.54 | $825.1K | 13.0K | 5.9K |
| 2018 | $158.83 | $77.17 | 2.06x | $81.66 | $1.0M | 15.0K | 7.8K |
| 2019 | $137.83 | $73.63 | 1.87x | $64.20 | $851.8K | 12.4K | 6.4K |
| 2020 | $172.50 | $129.24 | 1.33x | $43.26 | $1.6M | 20.9K | 9.7K |
| 2021 | $128.37 | $86.41 | 1.49x | $41.96 | $2.8M | 37.4K | 14.9K |
| 2022 | $138.24 | $83.52 | 1.66x | $54.72 | $2.5M | 31.9K | 14.0K |
| 2023 | $132.72 | $77.77 | 1.71x | $54.95 | $2.0M | 19.6K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 12.3K | $3.0M | $244.27 | 1.33x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 30.3K | $2.4M | $78.71 | 1.40x |
| G0179 | Physician re-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 im | 29.5K | $886.2K | $30.07 | 1.80x |
| 80307 | Testing for presence of drug | 12.9K | $792.1K | $61.49 | 1.06x |
| 99349 | Established patient home visit, typically 40 minutes | 6.3K | $598.8K | $94.93 | 1.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $323.5K | $70.18 | 1.64x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 2.0K | $297.1K | $147.03 | 1.30x |
| 87631 | Detection test for multiple types of respiratory virus | 2.6K | $294.8K | $111.67 | 1.10x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 956 | $275.6K | $288.25 | 1.58x |
| 93922 | Ultrasound study of arteries of both arms and legs | 4.2K | $267.7K | $63.27 | 1.82x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 2.4K | $240.2K | $100.86 | 1.63x |
| 99344 | New patient home visit, typically 60 minutes | 1.9K | $230.7K | $124.10 | 1.62x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 2.9K | $224.3K | $76.65 | 1.34x |
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 731 | $178.3K | $243.96 | 1.91x |
| 87634 | Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique | 2.4K | $166.2K | $69.73 | 1.08x |
| 96101 | Psychological testing with interpretation and report by psychologist or physician per hour | 2.6K | $155.1K | $59.03 | 1.52x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 1.1K | $151.9K | $141.58 | 2.45x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 2.4K | $148.2K | $63.00 | 1.68x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 876 | $139.4K | $159.19 | 1.07x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.0K | $114.8K | $109.76 | 1.10x |
This provider submits charges 1.47 times higher than what Medicare actually pays.
A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. This is lower 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.
Other Internal Medicine providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Owen Ellington, M.D, J.D. | Humble, TX | $34.4M | ✓ Clear |
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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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