This provider averages 157 services per working day
Based on 391.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Averaging 157 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 102658% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 35836% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $87.00 | $46.29 | 1.88x | $40.71 | $2.2K | 47 | 13 |
| 2015 | $98.50 | $52.69 | 1.87x | $45.81 | $6.9K | 121 | 36 |
| 2016 | $98.50 | $48.75 | 2.02x | $49.75 | $8.9K | 160 | 49 |
| 2017 | $109.61 | $66.44 | 1.65x | $43.17 | $12.7K | 205 | 56 |
| 2018 | $114.00 | $65.52 | 1.74x | $48.48 | $13.6K | 232 | 64 |
| 2019 | $112.78 | $64.60 | 1.75x | $48.18 | $11.2K | 206 | 76 |
| 2020 | $87.00 | $37.05 | 2.35x | $49.95 | $1.9K | 50 | 14 |
| 2021 | $30.51 | $15.83 | 1.93x | $14.68 | $665.8K | 41.7K | 3.5K |
| 2022 | $126.22 | $51.71 | 2.44x | $74.51 | $2.7M | 165.8K | 6.0K |
| 2023 | $25.21 | $14.06 | 1.79x | $11.15 | $2.2M | 183.0K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 83970 | Parathormone (parathyroid hormone) level | 22.8K | $928.7K | $40.72 | 1.69x |
| 84403 | Testosterone (hormone) level, total | 22.8K | $580.6K | $25.46 | 2.09x |
| 84270 | Sex hormone binding globulin (protein) level | 22.7K | $486.6K | $21.44 | 2.10x |
| 84144 | Progesterone (reproductive hormone) level | 22.7K | $467.0K | $20.58 | 2.09x |
| 84146 | Prolactin (milk producing hormone) level | 22.8K | $436.2K | $19.12 | 2.35x |
| 82670 | Measurement of total estradiol (hormone) | 13.5K | $372.4K | $27.55 | 1.91x |
| 81007 | Urinalysis for bacteria | 9.2K | $271.0K | $29.38 | 1.53x |
| 82626 | Dehydroepiandrosterone (dhea) hormone level | 9.2K | $228.4K | $24.76 | 1.58x |
| 82550 | Creatine kinase (cardiac enzyme) level, total | 31.0K | $198.5K | $6.41 | 1.64x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 22.8K | $189.9K | $8.35 | 1.62x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 22.5K | $172.8K | $7.66 | 1.73x |
| 82677 | Estriol (hormone) level | 6.4K | $151.6K | $23.70 | 1.52x |
| 82533 | Cortisol (hormone) measurement, total | 9.2K | $147.3K | $15.97 | 1.50x |
| 36415 | Insertion of needle into vein for collection of blood sample | 30.7K | $140.9K | $4.59 | 1.46x |
| 83625 | Lactate dehydrogenase (enzyme) measurement | 9.2K | $115.6K | $12.53 | 1.56x |
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 8.1K | $109.7K | $13.46 | 1.56x |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 30.8K | $82.1K | $2.66 | 2.52x |
| 80076 | Liver function blood test panel | 9.2K | $73.9K | $8.01 | 1.69x |
| 82977 | Glutamyltransferase (liver enzyme) level | 9.2K | $65.1K | $7.06 | 2.12x |
| 83735 | Magnesium level | 9.2K | $60.6K | $6.57 | 2.10x |
This provider submits charges 1.87 times higher than what Medicare actually pays.
A markup ratio of 1.87x means for every $100 Medicare pays, this provider initially charges $187. 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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