This provider averages 102 services per working day
Based on 253.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.6M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 102 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 294% 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 | $62.77 | $29.41 | 2.13x | $33.36 | $797.1K | 29.6K | 16.5K |
| 2015 | $56.68 | $24.47 | 2.32x | $32.21 | $664.9K | 19.8K | 8.0K |
| 2016 | $77.99 | $30.91 | 2.52x | $47.08 | $884.6K | 19.3K | 10.1K |
| 2017 | $68.22 | $26.84 | 2.54x | $41.38 | $2.0M | 38.8K | 19.0K |
| 2018 | $94.84 | $43.74 | 2.17x | $51.10 | $2.0M | 36.2K | 16.1K |
| 2019 | $59.17 | $23.05 | 2.57x | $36.12 | $634.6K | 13.5K | 9.3K |
| 2020 | $116.76 | $58.86 | 1.98x | $57.90 | $2.5M | 46.1K | 17.8K |
| 2021 | $159.38 | $105.20 | 1.52x | $54.18 | $2.5M | 36.2K | 14.2K |
| 2022 | $52.85 | $26.93 | 1.96x | $25.92 | $463.4K | 10.9K | 5.3K |
| 2023 | $90.69 | $34.15 | 2.66x | $56.54 | $147.6K | 3.4K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0481 | Drug test def 8-14 classes | 27.2K | $4.1M | $149.41 | 1.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 64.8K | $3.2M | $49.98 | 2.28x |
| 80307 | Testing for presence of drug | 26.7K | $1.8M | $65.74 | 1.68x |
| Q4206 | Fluid flow or fluid gf, 1 cc | 207 | $341.0K | $1.6K | 1.41x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 2.7K | $249.8K | $92.36 | 1.62x |
| Q4246 | Coretext or protext, per cc | 96 | $220.3K | $2.3K | 1.41x |
| G0480 | Drug test def 1-7 classes | 2.0K | $204.6K | $101.65 | 1.71x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 2.7K | $198.3K | $73.67 | 1.70x |
| J7799 | Noc drugs, other than inhalation drugs, administered through dme | 493 | $130.8K | $265.28 | 1.33x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $125.9K | $111.13 | 2.32x |
| 84403 | Testosterone (hormone) level | 4.2K | $123.6K | $29.51 | 1.80x |
| 96103 | Psychological testing with interpretation and report by computer | 6.0K | $108.3K | $18.02 | 3.69x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 1.4K | $104.1K | $75.24 | 2.18x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.8K | $85.7K | $48.78 | 2.06x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 4.2K | $81.8K | $19.26 | 1.82x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $78.7K | $72.37 | 1.91x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 4.3K | $74.0K | $17.16 | 1.66x |
| 82306 | Vitamin D-3 level | 1.9K | $70.9K | $38.26 | 1.52x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 4.8K | $61.6K | $12.78 | 2.19x |
| 82649 | Dihydromorphinone (drug) level | 1.9K | $61.2K | $32.87 | 1.52x |
This provider submits charges 1.83 times higher than what Medicare actually pays.
A markup ratio of 1.83x means for every $100 Medicare pays, this provider initially charges $183. 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.
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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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