⚠️ This provider averages 356 services per working day — physically unusual for an individual practitioner
Based on 355.8K total services over 4 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.9M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Averaging 356 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 16691% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50793% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $125.37 | $34.80 | 3.60x | $90.57 | $15.4K | 299 | 214 |
| 2021 | $170.36 | $44.84 | 3.80x | $125.52 | $4.5K | 93 | 76 |
| 2022 | $135.06 | $61.36 | 2.20x | $73.70 | $2.3M | 143.4K | 5.4K |
| 2023 | $107.76 | $48.20 | 2.24x | $59.56 | $2.6M | 212.0K | 10.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 83970 | Parathormone (parathyroid hormone) level | 15.7K | $637.9K | $40.61 | 1.70x |
| 84403 | Testosterone (hormone) level, total | 15.7K | $398.8K | $25.39 | 2.09x |
| 81007 | Urinalysis for bacteria | 12.0K | $351.1K | $29.38 | 1.53x |
| 84270 | Sex hormone binding globulin (protein) level | 15.7K | $335.7K | $21.38 | 2.10x |
| 84144 | Progesterone (reproductive hormone) level | 15.7K | $322.2K | $20.52 | 2.09x |
| 84146 | Prolactin (milk producing hormone) level | 15.7K | $299.5K | $19.07 | 2.36x |
| 82626 | Dehydroepiandrosterone (dhea) hormone level | 12.0K | $295.9K | $24.76 | 1.58x |
| 82670 | Measurement of total estradiol (hormone) | 9.5K | $262.1K | $27.48 | 1.91x |
| 82677 | Estriol (hormone) level | 8.3K | $195.9K | $23.70 | 1.52x |
| 82533 | Cortisol (hormone) measurement, total | 12.0K | $190.9K | $15.97 | 1.50x |
| 82550 | Creatine kinase (cardiac enzyme) level, total | 26.6K | $170.1K | $6.39 | 1.64x |
| 83625 | Lactate dehydrogenase (enzyme) measurement | 12.0K | $149.7K | $12.53 | 1.56x |
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 11.0K | $147.9K | $13.46 | 1.56x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 15.7K | $130.7K | $8.32 | 1.62x |
| 36415 | Insertion of needle into vein for collection of blood sample | 25.1K | $129.4K | $5.16 | 1.48x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15.7K | $119.9K | $7.64 | 1.73x |
| 80076 | Liver function blood test panel | 12.0K | $95.7K | $8.01 | 1.69x |
| 82977 | Glutamyltransferase (liver enzyme) level | 12.0K | $84.4K | $7.06 | 2.12x |
| 83735 | Magnesium level | 12.0K | $78.5K | $6.57 | 2.10x |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 26.7K | $70.8K | $2.65 | 2.36x |
This provider submits charges 1.84 times higher than what Medicare actually pays.
A markup ratio of 1.84x means for every $100 Medicare pays, this provider initially charges $184. This is lower 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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