⚠️ This provider averages 1.5K services per working day — physically unusual for an individual practitioner
Based on 744.9K total services over 2 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 1.5K services per working day raises questions about billing patterns.
100% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $24.46 | $11.80 | 2.07x | $12.66 | $4.7M | 399.2K | 3 |
| 2023 | $24.02 | $11.77 | 2.04x | $12.25 | $4.1M | 345.8K | 2 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 743.8K | $8.7M | $11.76 | 2.04x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 941 | $20.9K | $22.17 | 8.34x |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 183 | $7.7K | $41.89 | 4.77x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | $2.8K | $68.77 | 3.10x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data