This provider averages 51 services per working day
Based on 126.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 63% from 2014 to 2023.
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 | $120.96 | $61.95 | 1.95x | $59.01 | $596.2K | 12.0K | 3.4K |
| 2015 | $153.12 | $72.21 | 2.12x | $80.91 | $741.9K | 13.5K | 3.9K |
| 2016 | $172.23 | $79.35 | 2.17x | $92.88 | $797.3K | 13.2K | 3.8K |
| 2017 | $177.74 | $81.58 | 2.18x | $96.16 | $754.9K | 12.1K | 3.5K |
| 2018 | $180.86 | $86.82 | 2.08x | $94.04 | $705.8K | 10.7K | 3.6K |
| 2019 | $173.64 | $79.85 | 2.17x | $93.79 | $704.6K | 11.0K | 3.3K |
| 2020 | $202.29 | $89.15 | 2.27x | $113.14 | $745.0K | 11.7K | 2.9K |
| 2021 | $138.63 | $80.37 | 1.72x | $58.26 | $840.6K | 12.9K | 2.1K |
| 2022 | $182.96 | $79.88 | 2.29x | $103.08 | $1.0M | 15.4K | 2.9K |
| 2023 | $190.22 | $79.20 | 2.40x | $111.02 | $971.1K | 14.0K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 62.2K | $3.7M | $59.18 | 1.44x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 15.3K | $1.2M | $77.77 | 1.33x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 18.1K | $677.4K | $37.32 | 2.02x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 3.0K | $426.6K | $141.30 | 1.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.6K | $358.0K | $47.00 | 2.93x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.4K | $320.5K | $223.17 | 1.79x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.1K | $239.2K | $113.49 | 2.20x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.3K | $205.9K | $154.20 | 2.36x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.4K | $201.3K | $145.55 | 4.47x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.4K | $189.1K | $134.24 | 2.61x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.0K | $73.5K | $71.96 | 2.78x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 313 | $54.7K | $174.79 | 1.43x |
| G0444 | Annual depression screening, 15 minutes | 2.2K | $44.9K | $20.59 | 1.94x |
| G0008 | Administration of influenza virus vaccine | 1.1K | $27.7K | $26.38 | 1.90x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 139 | $27.6K | $198.88 | 2.01x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.2K | $26.3K | $12.04 | 7.06x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 215 | $23.9K | $111.00 | 1.57x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 135 | $23.1K | $170.77 | 1.76x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 135 | $19.0K | $141.02 | 2.13x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 253 | $11.9K | $47.05 | 2.50x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. This is lower 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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