This provider averages 195 services per working day
Based on 486.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.3M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Averaging 195 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 | $122.76 | $27.75 | 4.42x | $95.01 | $946.6K | 41.2K | 15.3K |
| 2015 | $136.76 | $32.32 | 4.23x | $104.44 | $1.0M | 42.1K | 16.1K |
| 2016 | $179.91 | $40.94 | 4.39x | $138.97 | $1.5M | 38.8K | 16.7K |
| 2017 | $161.74 | $38.88 | 4.16x | $122.86 | $1.8M | 45.6K | 18.4K |
| 2018 | $195.80 | $52.90 | 3.70x | $142.90 | $1.8M | 46.9K | 18.2K |
| 2019 | $171.56 | $48.43 | 3.54x | $123.13 | $1.7M | 51.9K | 21.0K |
| 2020 | $139.58 | $40.12 | 3.48x | $99.46 | $1.7M | 54.5K | 22.2K |
| 2021 | $131.00 | $38.23 | 3.43x | $92.77 | $1.8M | 64.8K | 24.3K |
| 2022 | $125.87 | $35.02 | 3.59x | $90.85 | $1.6M | 54.2K | 20.1K |
| 2023 | $125.07 | $34.63 | 3.61x | $90.44 | $1.4M | 46.9K | 17.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.3K | $2.1M | $83.22 | 2.49x |
| G0483 | Drug test def 22+ classes | 6.5K | $1.5M | $230.93 | 2.51x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 36.4K | $1.3M | $35.89 | 2.37x |
| 80307 | Testing for presence of drug | 14.5K | $949.1K | $65.57 | 3.05x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 3.2K | $620.2K | $192.31 | 2.34x |
| 83970 | Parathormone (parathyroid hormone) level | 10.2K | $476.1K | $46.84 | 4.33x |
| 82024 | Adrenocorticotropic hormone (ACTH) level | 9.6K | $421.4K | $44.06 | 3.62x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.0K | $355.4K | $117.29 | 1.41x |
| 82670 | Estradiol (hormone) level | 10.4K | $329.5K | $31.75 | 6.72x |
| 84403 | Testosterone (hormone) level | 10.4K | $304.6K | $29.33 | 7.17x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.3K | $281.2K | $53.31 | 2.92x |
| 84144 | Progesterone (reproductive hormone) level | 10.4K | $245.5K | $23.70 | 5.16x |
| 82306 | Vitamin D-3 level | 6.9K | $238.8K | $34.72 | 6.19x |
| 82627 | Dehydroepiandrosterone (DHEA-S) hormone level | 9.0K | $225.1K | $24.98 | 8.03x |
| 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 10.2K | $214.3K | $21.11 | 5.88x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 10.3K | $196.5K | $19.06 | 6.53x |
| 84481 | Thyroid hormone, T3 measurement | 10.4K | $194.2K | $18.74 | 10.66x |
| 83003 | Human growth hormone level | 10.1K | $190.9K | $18.91 | 3.64x |
| 82533 | Cortisol (hormone) measurement | 10.2K | $189.5K | $18.51 | 6.80x |
| 86800 | Thyroglobulin (thyroid protein) antibody measurement | 10.2K | $185.0K | $18.07 | 6.13x |
This provider submits charges 3.81 times higher than what Medicare actually pays.
A markup ratio of 3.81x means for every $100 Medicare pays, this provider initially charges $381. 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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