This provider averages 56 services per working day
Based on 141.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 934% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2834% 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 | $107.66 | $32.98 | 3.26x | $74.68 | $76.4K | 2.2K | 1.8K |
| 2015 | $126.38 | $43.27 | 2.92x | $83.11 | $88.9K | 2.1K | 1.7K |
| 2016 | $153.15 | $56.02 | 2.73x | $97.13 | $103.4K | 2.3K | 2.0K |
| 2017 | $123.98 | $46.81 | 2.65x | $77.17 | $75.8K | 1.8K | 1.5K |
| 2018 | $151.40 | $63.18 | 2.40x | $88.22 | $107.4K | 2.4K | 2.2K |
| 2019 | $144.84 | $60.84 | 2.38x | $84.00 | $100.4K | 2.4K | 2.2K |
| 2020 | $144.68 | $49.21 | 2.94x | $95.47 | $83.5K | 2.0K | 1.9K |
| 2021 | $101.57 | $43.68 | 2.33x | $57.89 | $2.4M | 86.1K | 85.9K |
| 2022 | $118.29 | $45.41 | 2.60x | $72.88 | $639.9K | 22.6K | 22.5K |
| 2023 | $189.22 | $67.77 | 2.79x | $121.45 | $789.6K | 17.3K | 17.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Vaccine for influenza for injection into muscle | 16.6K | $892.6K | $53.75 | 1.02x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 18.1K | $583.6K | $32.30 | 1.49x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 16.8K | $551.7K | $32.83 | 1.52x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 16.8K | $344.3K | $20.50 | 1.50x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 17.9K | $327.3K | $18.26 | 1.47x |
| 0003A | Fee covid-19 vac 1 booster | 7.4K | $281.1K | $38.14 | 1.57x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1.8K | $257.5K | $142.03 | 1.02x |
| G0008 | Administration of influenza virus vaccine | 18.3K | $250.1K | $13.69 | 1.02x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $214.4K | $66.66 | 5.31x |
| 0013A | Fee covid-19 vac 2 booster | 4.9K | $187.9K | $38.15 | 1.57x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.3K | $150.2K | $114.98 | 3.08x |
| 0124A | Fee covid-19 vac 13 res | 3.1K | $115.5K | $37.39 | 1.60x |
| 90480 | Admn sarscov2 vacc 1 dose | 1.8K | $69.8K | $38.55 | 1.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $49.1K | $45.20 | 5.18x |
| 0031A | Adm sarscov2 vac ad26 .5ml | 1.3K | $49.0K | $38.16 | 1.57x |
| 90670 | Pneumococcal vaccine for injection into muscle | 250 | $43.5K | $174.19 | 1.06x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 1.2K | $43.0K | $37.36 | 1.61x |
| 90686 | Vaccine for influenza administered into muscle to individuals 3 years of age and older | 1.6K | $31.7K | $19.22 | 1.02x |
| 0064A | Adm sarscov2 50mcg/0.25mlbst | 656 | $24.5K | $37.30 | 1.61x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 54 | $15.2K | $280.61 | 3.13x |
This provider submits charges 1.65 times higher than what Medicare actually pays.
A markup ratio of 1.65x means for every $100 Medicare pays, this provider initially charges $165. This is lower than the national average.
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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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