This provider averages 88 services per working day
Based on 219.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.5M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 88 services per working day raises questions about billing patterns.
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 | $88.97 | $68.80 | 1.29x | $20.17 | $1.3M | 22.7K | 2.7K |
| 2015 | $88.32 | $65.53 | 1.35x | $22.79 | $1.2M | 20.9K | 2.6K |
| 2016 | $82.24 | $57.56 | 1.43x | $24.68 | $1.2M | 23.2K | 2.8K |
| 2017 | $110.65 | $72.59 | 1.52x | $38.06 | $1.2M | 19.9K | 2.6K |
| 2018 | $114.32 | $73.16 | 1.56x | $41.16 | $1.5M | 22.5K | 2.8K |
| 2019 | $125.03 | $75.79 | 1.65x | $49.24 | $1.5M | 22.8K | 2.5K |
| 2020 | $152.68 | $73.09 | 2.09x | $79.59 | $1.5M | 21.3K | 2.3K |
| 2021 | $149.85 | $86.65 | 1.73x | $63.20 | $1.6M | 22.0K | 2.1K |
| 2022 | $162.56 | $97.93 | 1.66x | $64.63 | $1.7M | 21.3K | 2.7K |
| 2023 | $169.61 | $94.76 | 1.79x | $74.85 | $1.8M | 23.1K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 91.6K | $5.4M | $58.81 | 1.72x |
| 96521 | Refilling and maintenance of portable pump | 18.0K | $2.2M | $120.39 | 1.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.0K | $1.5M | $90.66 | 1.51x |
| 97597 | Removal of tissue from wounds per session | 12.1K | $927.7K | $76.80 | 1.90x |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 6.5K | $887.5K | $136.39 | 1.71x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 7.9K | $619.1K | $78.72 | 2.36x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 6.5K | $582.9K | $89.52 | 2.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.0K | $360.6K | $59.93 | 2.08x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 11.4K | $291.8K | $25.59 | 1.72x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 13.7K | $220.4K | $16.14 | 2.01x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $168.0K | $131.34 | 1.38x |
| 36573 | Insertion of central venous catheter for infusion using imaging guidance, patient 5 years or older | 477 | $162.7K | $341.17 | 1.43x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.0K | $159.3K | $159.35 | 1.45x |
| 36589 | Removal of central venous catheter for infusion | 1.2K | $158.0K | $132.92 | 1.43x |
| 36569 | Insertion of central venous catheter for infusion, patient 5 years or older | 576 | $115.8K | $200.99 | 1.41x |
| 97607 | Negative pressure wound therapy surface area less than or equal to 50 square centimeters per session | 362 | $114.2K | $315.36 | 1.55x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.6K | $93.4K | $58.17 | 1.41x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 5.3K | $89.0K | $16.85 | 2.28x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 667 | $89.0K | $133.38 | 1.36x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 372 | $64.8K | $174.10 | 1.42x |
This provider submits charges 1.76 times higher than what Medicare actually pays.
A markup ratio of 1.76x means for every $100 Medicare pays, this provider initially charges $176. 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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