This provider averages 100 services per working day
Based on 249.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.3M in total Medicare payments ranks in the 97th percentile of Rheumatology providers nationally.
Averaging 100 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 | $59.39 | $31.68 | 1.87x | $27.71 | $643.6K | 32.9K | 18.0K |
| 2015 | $59.22 | $29.62 | 2.00x | $29.60 | $579.7K | 29.8K | 15.9K |
| 2016 | $67.58 | $32.34 | 2.09x | $35.24 | $579.5K | 29.6K | 16.1K |
| 2017 | $70.62 | $31.48 | 2.24x | $39.14 | $562.2K | 29.4K | 16.2K |
| 2018 | $85.27 | $39.21 | 2.17x | $46.06 | $539.5K | 27.4K | 15.3K |
| 2019 | $104.32 | $38.26 | 2.73x | $66.06 | $530.3K | 26.9K | 15.1K |
| 2020 | $165.82 | $38.38 | 4.32x | $127.44 | $488.1K | 23.6K | 14.4K |
| 2021 | $108.80 | $34.27 | 3.17x | $74.53 | $489.1K | 22.1K | 13.3K |
| 2022 | $82.28 | $28.62 | 2.87x | $53.66 | $462.0K | 19.2K | 12.8K |
| 2023 | $113.41 | $46.61 | 2.43x | $66.80 | $391.1K | 8.6K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 22.6K | $1.7M | $74.65 | 1.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $339.2K | $46.54 | 1.66x |
| 80053 | Blood test, comprehensive group of blood chemicals | 24.6K | $304.1K | $12.38 | 2.17x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 25.6K | $235.0K | $9.19 | 2.18x |
| 82306 | Vitamin D-3 level | 5.7K | $193.9K | $34.02 | 3.07x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $173.7K | $113.46 | 1.79x |
| 86140 | Measurement C-reactive protein for detection of infection or inflammation | 25.1K | $154.2K | $6.15 | 3.19x |
| 73218 | MRI scan of arm | 954 | $150.9K | $158.16 | 3.59x |
| 73120 | X-ray of hand, 2 views | 7.8K | $149.1K | $19.04 | 2.48x |
| 73630 | X-ray of foot, minimum of 3 views | 6.5K | $142.1K | $21.93 | 2.46x |
| 73221 | MRI scan of arm joint | 913 | $123.3K | $135.02 | 3.39x |
| 85651 | Red blood cell sedimentation rate, to detect inflammation | 26.1K | $114.9K | $4.40 | 2.64x |
| 73560 | X-ray of knee, 1 or 2 views | 5.1K | $112.2K | $22.07 | 2.53x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 3.5K | $89.7K | $25.66 | 2.81x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 540 | $80.4K | $148.81 | 2.11x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.2K | $79.0K | $36.19 | 3.79x |
| 72040 | X-ray of spine of neck, 2 or 3 views | 3.1K | $77.1K | $24.88 | 2.76x |
| 36415 | Insertion of needle into vein for collection of blood sample | 26.1K | $76.1K | $2.92 | 1.82x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.4K | $75.2K | $55.68 | 1.91x |
| 86200 | Measurement of antibody for rheumatoid arthritis assessment | 4.7K | $73.5K | $15.54 | 2.14x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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.
Other Rheumatology providers in LA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Larry Broadwell, MD | Shreveport, LA | $53.2M | ✓ Clear |
| Aaron Broadwell, MD | Shreveport, LA | $48.9M | ✓ Clear |
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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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