⚠️ This provider averages 509 services per working day — physically unusual for an individual practitioner
Based on 1.3M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $22.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 509 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 189% 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 | $55.91 | $26.71 | 2.09x | $29.20 | $1.2M | 46.2K | 28 |
| 2015 | $51.27 | $25.46 | 2.01x | $25.81 | $1.5M | 57.1K | 30 |
| 2016 | $45.60 | $23.79 | 1.92x | $21.81 | $1.5M | 62.3K | 28 |
| 2017 | $45.25 | $24.67 | 1.83x | $20.58 | $1.5M | 60.1K | 27 |
| 2018 | $46.40 | $25.73 | 1.80x | $20.67 | $1.6M | 61.4K | 28 |
| 2019 | $42.69 | $20.96 | 2.04x | $21.73 | $2.3M | 109.0K | 33 |
| 2020 | $33.00 | $17.67 | 1.87x | $15.33 | $2.8M | 160.6K | 32 |
| 2021 | $33.07 | $18.43 | 1.79x | $14.64 | $3.0M | 161.2K | 31 |
| 2022 | $30.06 | $15.47 | 1.94x | $14.59 | $3.5M | 224.9K | 34 |
| 2023 | $27.13 | $10.82 | 2.51x | $16.31 | $3.6M | 330.0K | 33 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 436.9K | $6.5M | $14.83 | 1.99x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 76.2K | $3.7M | $48.84 | 2.17x |
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 394.2K | $2.0M | $5.09 | 2.26x |
| J2350 | Injection, ocrelizumab, 1 mg | 44.7K | $1.9M | $42.51 | 1.60x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15.5K | $1.3M | $82.16 | 1.64x |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 31.4K | $1.2M | $38.91 | 1.98x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12.1K | $688.2K | $56.82 | 1.82x |
| J1306 | Injection, inclisiran, 1 mg | 63.4K | $589.2K | $9.30 | 2.04x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 799 | $526.3K | $658.75 | 1.61x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 63.6K | $483.0K | $7.59 | 2.52x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.8K | $457.2K | $120.76 | 1.21x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 38.0K | $412.6K | $10.86 | 2.34x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.2K | $348.0K | $107.23 | 2.82x |
| 20610 | Aspiration and/or injection of fluid from large joint | 5.3K | $283.8K | $53.99 | 2.24x |
| J3357 | Ustekinumab, for subcutaneous injection, 1 mg | 2.2K | $259.7K | $117.76 | 1.74x |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 21.0K | $233.0K | $11.08 | 1.80x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.3K | $206.8K | $163.48 | 2.17x |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 20.2K | $196.7K | $9.73 | 1.56x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 3.3K | $190.3K | $58.26 | 3.19x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 1.2K | $145.5K | $124.65 | 1.60x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data