This provider averages 55 services per working day
Based on 137.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 158% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2019
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 | $243.10 | $96.78 | 2.51x | $146.32 | $356.9K | 5.4K | 962 |
| 2015 | $290.74 | $94.55 | 3.07x | $196.19 | $531.8K | 8.2K | 1.2K |
| 2016 | $276.58 | $89.56 | 3.09x | $187.02 | $557.5K | 8.6K | 1.5K |
| 2017 | $199.92 | $82.08 | 2.44x | $117.84 | $776.7K | 12.5K | 1.5K |
| 2018 | $150.29 | $93.69 | 1.60x | $56.60 | $716.2K | 10.8K | 1.3K |
| 2019 | $132.95 | $71.05 | 1.87x | $61.90 | $1.2M | 17.7K | 1.7K |
| 2020 | $131.62 | $66.61 | 1.98x | $65.01 | $1.5M | 22.7K | 2.1K |
| 2021 | $135.40 | $68.19 | 1.99x | $67.21 | $1.3M | 17.7K | 1.8K |
| 2022 | $142.42 | $65.46 | 2.18x | $76.96 | $1.1M | 17.1K | 1.6K |
| 2023 | $150.65 | $69.06 | 2.18x | $81.59 | $921.1K | 16.8K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 36.2K | $2.9M | $79.14 | 2.43x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 36.4K | $2.0M | $55.39 | 2.41x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 12.5K | $1.3M | $102.21 | 1.66x |
| 96521 | Refilling and maintenance of portable pump | 5.9K | $615.2K | $104.75 | 2.31x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.1K | $519.8K | $72.75 | 1.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.3K | $497.3K | $149.52 | 2.22x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 7.9K | $407.5K | $51.56 | 3.12x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.7K | $169.3K | $101.85 | 2.26x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.7K | $140.4K | $52.76 | 1.72x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 7.9K | $127.3K | $16.09 | 4.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 884 | $68.6K | $77.64 | 2.23x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 799 | $60.9K | $76.20 | 3.60x |
| J1335 | Injection, ertapenem sodium, 500 mg | 2.1K | $49.4K | $23.56 | 5.33x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 408 | $39.7K | $97.30 | 2.02x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 469 | $27.2K | $57.96 | 1.68x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 163 | $20.4K | $124.89 | 1.77x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 159 | $19.4K | $122.10 | 1.88x |
| 36589 | Removal of central venous catheter for infusion | 150 | $18.8K | $125.63 | 1.54x |
| J3370 | Injection, vancomycin hcl, 500 mg | 4.1K | $9.6K | $2.35 | 7.80x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 22 | $3.7K | $170.11 | 2.51x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. 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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