This provider averages 193 services per working day
Based on 483.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 193 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 212% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% in 2023
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 | $99.57 | $41.68 | 2.39x | $57.89 | $812.2K | 16.4K | 8.5K |
| 2015 | $104.55 | $44.35 | 2.36x | $60.20 | $1.2M | 28.8K | 14.3K |
| 2016 | $103.02 | $42.10 | 2.45x | $60.92 | $1.2M | 28.6K | 17.6K |
| 2017 | $108.57 | $44.54 | 2.44x | $64.03 | $1.5M | 42.9K | 21.0K |
| 2018 | $116.92 | $47.39 | 2.47x | $69.53 | $1.6M | 52.4K | 22.9K |
| 2019 | $116.76 | $44.55 | 2.62x | $72.21 | $1.4M | 58.5K | 23.0K |
| 2020 | $110.02 | $42.34 | 2.60x | $67.68 | $1.7M | 66.1K | 24.7K |
| 2021 | $118.34 | $44.43 | 2.66x | $73.91 | $1.9M | 59.9K | 23.9K |
| 2022 | $107.64 | $41.13 | 2.62x | $66.51 | $1.5M | 44.4K | 21.7K |
| 2023 | $110.11 | $41.51 | 2.65x | $68.60 | $2.5M | 85.3K | 31.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99490 | Chronic care management services at least 20 minutes per calendar month | 46.8K | $1.6M | $35.17 | 1.56x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 14.2K | $1.3M | $95.28 | 1.85x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 15.8K | $1.1M | $68.58 | 2.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.4K | $856.6K | $59.36 | 2.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.3K | $746.5K | $72.66 | 2.52x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.7K | $519.6K | $139.09 | 2.93x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 7.5K | $509.1K | $67.61 | 1.85x |
| 76536 | Ultrasound of head and neck | 5.2K | $444.1K | $85.10 | 3.78x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.0K | $437.0K | $147.82 | 2.77x |
| 82306 | Vitamin D-3 level | 11.8K | $380.5K | $32.29 | 1.47x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.7K | $303.4K | $111.26 | 1.35x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 7.0K | $255.3K | $36.69 | 3.27x |
| 84481 | Thyroid hormone, T3 measurement | 13.2K | $248.2K | $18.75 | 2.32x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 2.4K | $245.2K | $100.72 | 2.44x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 13.2K | $244.5K | $18.46 | 2.30x |
| 82747 | Folic acid level | 12.6K | $235.6K | $18.63 | 2.20x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.7K | $230.4K | $139.49 | 2.74x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 4.6K | $229.5K | $50.42 | 2.91x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 1.6K | $227.3K | $138.27 | 1.74x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 6.0K | $225.1K | $37.32 | 3.46x |
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.
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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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