⚠️ This provider averages 252 services per working day — physically unusual for an individual practitioner
Based on 629.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 252 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 10709% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2124% in 2022
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 | $95.55 | $43.98 | 2.17x | $51.57 | $27.0K | 615 | 7 |
| 2015 | $101.34 | $47.82 | 2.12x | $53.52 | $24.1K | 503 | 6 |
| 2016 | $109.10 | $39.67 | 2.75x | $69.43 | $29.8K | 752 | 7 |
| 2017 | $149.27 | $52.66 | 2.83x | $96.61 | $28.2K | 536 | 6 |
| 2018 | $139.50 | $49.03 | 2.85x | $90.47 | $30.1K | 614 | 7 |
| 2019 | $168.21 | $53.07 | 3.17x | $115.14 | $32.9K | 619 | 7 |
| 2020 | $164.22 | $46.40 | 3.54x | $117.82 | $21.8K | 469 | 9 |
| 2021 | $14.13 | $4.87 | 2.90x | $9.26 | $145.4K | 29.8K | 18 |
| 2022 | $27.76 | $11.43 | 2.43x | $16.33 | $3.2M | 282.9K | 34 |
| 2023 | $23.57 | $9.35 | 2.52x | $14.22 | $2.9M | 312.6K | 35 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 47.6K | $2.0M | $42.59 | 2.07x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 43.6K | $1.6M | $37.19 | 2.12x |
| J0897 | Injection, denosumab, 1 mg | 34.6K | $586.8K | $16.98 | 1.88x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 8.3K | $302.2K | $36.50 | 2.08x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 7.4K | $291.2K | $39.24 | 2.80x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 109.5K | $268.1K | $2.45 | 2.45x |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 2.4K | $250.7K | $103.91 | 2.92x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.9K | $197.6K | $105.66 | 5.65x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 204.8K | $179.4K | $0.88 | 2.28x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.1K | $177.0K | $83.14 | 2.79x |
| Q5111 | Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg | 1.1K | $132.7K | $120.19 | 3.60x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 445 | $51.2K | $114.99 | 2.76x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 786 | $44.2K | $56.22 | 2.57x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 779 | $40.2K | $51.59 | 4.65x |
| J0185 | Injection, aprepitant, 1 mg | 28.2K | $37.5K | $1.33 | 3.01x |
| 96375 | Injection of additional new drug or substance into vein | 2.6K | $31.5K | $12.20 | 8.44x |
| G0498 | Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l | 221 | $29.0K | $131.25 | 4.44x |
| 96417 | Administration of additional new drug or substance into vein, 1 hour or less | 520 | $26.7K | $51.36 | 5.65x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 418 | $25.0K | $59.83 | 3.81x |
| 96372 | Injection of drug or substance under skin or into muscle | 1.9K | $20.4K | $10.56 | 6.82x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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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