This provider averages 101 services per working day
Based on 252.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 101 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 | $91.40 | $38.87 | 2.35x | $52.53 | $666.7K | 24.8K | 2.2K |
| 2015 | $108.09 | $41.88 | 2.58x | $66.21 | $787.6K | 28.7K | 2.8K |
| 2016 | $129.30 | $43.13 | 3.00x | $86.17 | $713.4K | 26.3K | 2.6K |
| 2017 | $120.11 | $40.09 | 3.00x | $80.02 | $695.6K | 23.6K | 2.5K |
| 2018 | $126.64 | $45.39 | 2.79x | $81.25 | $791.6K | 22.6K | 2.2K |
| 2019 | $115.35 | $40.05 | 2.88x | $75.30 | $905.4K | 27.4K | 2.6K |
| 2020 | $196.84 | $57.63 | 3.42x | $139.21 | $650.4K | 18.4K | 1.9K |
| 2021 | $188.83 | $57.40 | 3.29x | $131.43 | $744.4K | 21.8K | 2.0K |
| 2022 | $178.87 | $53.38 | 3.35x | $125.49 | $862.5K | 27.2K | 2.4K |
| 2023 | $187.60 | $58.53 | 3.21x | $129.07 | $942.4K | 31.2K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 49.9K | $2.7M | $54.29 | 3.21x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 32.9K | $1.9M | $57.18 | 2.71x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.6K | $1.0M | $88.87 | 2.45x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 14.2K | $339.5K | $23.89 | 3.70x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.6K | $269.0K | $104.20 | 2.87x |
| J1335 | Injection, ertapenem sodium, 500 mg | 9.7K | $267.9K | $27.68 | 3.97x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $252.0K | $156.55 | 2.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.3K | $240.6K | $55.61 | 2.05x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.1K | $114.0K | $53.32 | 2.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 789 | $99.4K | $126.02 | 2.56x |
| 36573 | Insertion of central venous catheter for infusion using imaging guidance, patient 5 years or older | 262 | $82.2K | $313.74 | 4.78x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 418 | $72.8K | $174.25 | 2.15x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 674 | $64.8K | $96.15 | 3.12x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 3.5K | $57.9K | $16.36 | 2.39x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 597 | $50.3K | $84.20 | 2.51x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 333 | $33.8K | $101.44 | 2.51x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 209 | $29.5K | $141.29 | 2.08x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 310 | $21.3K | $68.74 | 3.64x |
| J7050 | Infusion, normal saline solution , 250 cc | 48.0K | $20.8K | $0.43 | 46.13x |
| 36415 | Insertion of needle into vein for collection of blood sample | 4.6K | $15.7K | $3.39 | 8.85x |
This provider submits charges 3.14 times higher than what Medicare actually pays.
A markup ratio of 3.14x means for every $100 Medicare pays, this provider initially charges $314. 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