This provider averages 54 services per working day
Based on 135.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 382% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 131% in 2016
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 | $207.65 | $76.86 | 2.70x | $130.79 | $152.0K | 2.8K | 596 |
| 2015 | $177.71 | $80.21 | 2.22x | $97.50 | $252.6K | 4.1K | 1.4K |
| 2016 | $183.16 | $84.92 | 2.16x | $98.24 | $584.3K | 9.8K | 3.7K |
| 2017 | $182.94 | $76.86 | 2.38x | $106.08 | $1.1M | 18.7K | 5.5K |
| 2018 | $145.99 | $69.90 | 2.09x | $76.09 | $915.0K | 17.2K | 4.5K |
| 2019 | $147.12 | $78.36 | 1.88x | $68.76 | $1.1M | 20.4K | 5.1K |
| 2020 | $146.80 | $75.95 | 1.93x | $70.85 | $1.0M | 19.5K | 4.5K |
| 2021 | $127.97 | $75.43 | 1.70x | $52.54 | $840.9K | 15.8K | 4.9K |
| 2022 | $133.44 | $78.46 | 1.70x | $54.98 | $686.1K | 13.3K | 4.1K |
| 2023 | $142.20 | $78.25 | 1.82x | $63.95 | $732.3K | 13.6K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 33.4K | $1.7M | $52.15 | 2.77x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 33.2K | $1.5M | $45.72 | 1.96x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 23.2K | $1.2M | $49.60 | 1.74x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 5.6K | $628.6K | $113.21 | 1.77x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 12.0K | $364.1K | $30.45 | 1.70x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.9K | $347.0K | $119.04 | 1.69x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.1K | $302.5K | $144.61 | 2.93x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 4.2K | $277.7K | $66.03 | 1.55x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 5.6K | $230.6K | $41.44 | 1.81x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.0K | $201.4K | $50.57 | 2.08x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.8K | $136.9K | $74.53 | 3.00x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 824 | $77.1K | $93.57 | 2.40x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 1.1K | $74.4K | $66.56 | 1.51x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 1.7K | $52.4K | $30.66 | 2.48x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 475 | $46.9K | $98.83 | 2.12x |
| 99238 | Hospital discharge day management, 30 minutes or less | 837 | $44.2K | $52.80 | 5.13x |
| 99328 | New patient assisted living visit, typically 75 minutes | 222 | $33.0K | $148.60 | 1.69x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 154 | $26.0K | $168.62 | 2.97x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 149 | $22.2K | $148.86 | 2.02x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 230 | $21.2K | $92.33 | 1.64x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. 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.
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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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