This provider averages 80 services per working day
Based on 200.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 80 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 | $146.77 | $43.26 | 3.39x | $103.51 | $606.4K | 20.6K | 10.7K |
| 2015 | $144.45 | $43.20 | 3.34x | $101.25 | $692.4K | 20.8K | 11.5K |
| 2016 | $140.05 | $44.03 | 3.18x | $96.02 | $650.0K | 20.8K | 11.0K |
| 2017 | $142.80 | $44.83 | 3.19x | $97.97 | $619.4K | 20.1K | 11.0K |
| 2018 | $149.25 | $46.34 | 3.22x | $102.91 | $687.6K | 20.6K | 11.6K |
| 2019 | $174.12 | $52.21 | 3.33x | $121.91 | $650.6K | 20.1K | 11.2K |
| 2020 | $146.05 | $42.56 | 3.43x | $103.49 | $641.0K | 19.4K | 11.6K |
| 2021 | $130.72 | $41.30 | 3.17x | $89.42 | $692.6K | 20.1K | 11.2K |
| 2022 | $195.23 | $56.29 | 3.47x | $138.94 | $699.8K | 19.4K | 10.4K |
| 2023 | $195.60 | $41.80 | 4.68x | $153.80 | $701.4K | 18.9K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.4K | $2.6M | $100.43 | 3.42x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.0K | $702.0K | $139.04 | 2.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.3K | $393.3K | $62.24 | 3.45x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 26.2K | $372.0K | $14.19 | 5.66x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 14.6K | $284.9K | $19.47 | 3.96x |
| 80053 | Blood test, comprehensive group of blood chemicals | 20.4K | $247.8K | $12.14 | 4.85x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 17.2K | $210.2K | $12.24 | 4.06x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 20.0K | $180.8K | $9.06 | 3.16x |
| 90670 | Pneumococcal vaccine for injection into muscle | 869 | $153.5K | $176.69 | 2.27x |
| 90662 | Vaccine for influenza for injection into muscle | 3.2K | $153.0K | $48.12 | 2.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 898 | $125.9K | $140.23 | 3.23x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 769 | $112.5K | $146.30 | 3.50x |
| G0008 | Administration of influenza virus vaccine | 3.8K | $102.8K | $26.89 | 2.59x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 438 | $82.4K | $188.09 | 5.02x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.1K | $81.7K | $73.80 | 6.10x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 400 | $78.3K | $195.79 | 2.66x |
| 36415 | Insertion of needle into vein for collection of blood sample | 21.7K | $75.1K | $3.46 | 3.60x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 879 | $73.6K | $83.79 | 4.91x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 312 | $59.8K | $191.52 | 2.60x |
| 83036 | Hemoglobin A1C level | 4.9K | $55.6K | $11.23 | 4.30x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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