⚠️ This provider averages 623 services per working day — physically unusual for an individual practitioner
Based on 1.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 623 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 82% 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 | $41.60 | $17.33 | 2.40x | $24.27 | $1.4M | 95.3K | 69.3K |
| 2015 | $46.35 | $19.72 | 2.35x | $26.63 | $1.9M | 133.0K | 91.4K |
| 2016 | $64.43 | $20.39 | 3.16x | $44.04 | $2.0M | 137.2K | 93.1K |
| 2017 | $74.64 | $22.62 | 3.30x | $52.02 | $2.2M | 149.6K | 101.5K |
| 2018 | $86.47 | $23.66 | 3.65x | $62.81 | $2.6M | 161.9K | 107.8K |
| 2019 | $76.92 | $21.16 | 3.64x | $55.76 | $2.3M | 163.4K | 109.8K |
| 2020 | $71.22 | $18.53 | 3.84x | $52.69 | $2.0M | 153.8K | 109.2K |
| 2021 | $87.32 | $23.73 | 3.68x | $63.59 | $2.1M | 160.5K | 110.4K |
| 2022 | $90.64 | $24.99 | 3.63x | $65.65 | $2.4M | 190.9K | 135.7K |
| 2023 | $94.80 | $25.25 | 3.75x | $69.55 | $2.6M | 212.9K | 147.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 297.1K | $4.0M | $13.42 | 4.59x |
| 80053 | Blood test, comprehensive group of blood chemicals | 359.4K | $3.8M | $10.56 | 3.24x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 195.6K | $3.7M | $19.04 | 3.64x |
| 82306 | Vitamin D-3 level | 79.5K | $2.6M | $32.56 | 3.24x |
| 83036 | Hemoglobin A1C level | 148.1K | $1.6M | $10.84 | 5.01x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 46.9K | $785.0K | $16.73 | 3.56x |
| 84439 | Thyroxine (thyroid chemical) measurement | 65.8K | $669.1K | $10.17 | 3.48x |
| 80048 | Blood test, basic group of blood chemicals | 60.5K | $520.6K | $8.60 | 3.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.6K | $513.0K | $67.71 | 3.94x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 22.9K | $493.4K | $21.53 | 3.24x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 55.1K | $428.6K | $7.78 | 7.07x |
| 82043 | Urine microalbumin (protein) level | 49.2K | $317.8K | $6.46 | 4.20x |
| 84153 | PSA (prostate specific antigen) measurement | 14.3K | $297.8K | $20.85 | 3.43x |
| 84481 | Thyroid hormone, T3 measurement | 13.2K | $250.8K | $18.97 | 3.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.5K | $201.5K | $45.07 | 4.02x |
| 82746 | Folic acid level | 8.7K | $144.3K | $16.56 | 3.44x |
| 82550 | Creatine kinase (cardiac enzyme) level | 15.1K | $98.5K | $6.51 | 4.27x |
| 84403 | Testosterone (hormone) level | 2.8K | $82.9K | $29.54 | 3.44x |
| 83735 | Magnesium level | 10.9K | $81.7K | $7.47 | 3.58x |
| 90662 | Vaccine for influenza for injection into muscle | 1.6K | $80.9K | $51.80 | 2.87x |
This provider submits charges 3.84 times higher than what Medicare actually pays.
A markup ratio of 3.84x means for every $100 Medicare pays, this provider initially charges $384. 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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