This provider averages 56 services per working day
Based on 140.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 56 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 | $174.77 | $47.83 | 3.65x | $126.94 | $379.3K | 9.7K | 1.5K |
| 2015 | $143.72 | $37.54 | 3.83x | $106.18 | $344.4K | 9.9K | 1.3K |
| 2016 | $200.42 | $50.96 | 3.93x | $149.46 | $327.5K | 9.1K | 1.0K |
| 2017 | $143.43 | $34.25 | 4.19x | $109.18 | $279.2K | 8.8K | 886 |
| 2018 | $159.14 | $39.32 | 4.05x | $119.82 | $357.0K | 12.8K | 1.2K |
| 2019 | $143.07 | $37.30 | 3.84x | $105.77 | $366.4K | 14.2K | 1.0K |
| 2020 | $107.92 | $26.58 | 4.06x | $81.34 | $393.3K | 16.7K | 952 |
| 2021 | $124.06 | $34.00 | 3.65x | $90.06 | $482.1K | 18.4K | 893 |
| 2022 | $149.33 | $39.58 | 3.77x | $109.75 | $464.7K | 18.7K | 1.0K |
| 2023 | $132.61 | $32.72 | 4.05x | $99.89 | $533.4K | 22.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 23.7K | $1.3M | $56.12 | 2.94x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 24.8K | $1.3M | $52.23 | 4.21x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 23.8K | $551.2K | $23.17 | 3.45x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.8K | $426.4K | $150.25 | 3.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $143.5K | $53.39 | 2.81x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 602 | $49.3K | $81.82 | 2.87x |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | 433 | $44.3K | $102.31 | 3.91x |
| J3370 | Injection, vancomycin hcl, 500 mg | 5.1K | $12.1K | $2.38 | 3.92x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 157 | $12.0K | $76.72 | 3.13x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 729 | $10.3K | $14.16 | 10.59x |
| J0692 | Injection, cefepime hydrochloride, 500 mg | 6.8K | $9.5K | $1.40 | 32.28x |
| J3095 | Injection, telavancin, 10 mg | 1.6K | $8.2K | $5.05 | 2.38x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 55 | $6.6K | $120.39 | 3.74x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 33 | $5.3K | $161.92 | 3.52x |
| J7050 | Infusion, normal saline solution , 250 cc | 9.9K | $4.1K | $0.41 | 68.89x |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 8.2K | $3.7K | $0.46 | 95.36x |
| J1956 | Injection, levofloxacin, 250 mg | 4.4K | $3.6K | $0.81 | 73.92x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 23 | $3.5K | $150.36 | 3.99x |
| J2185 | Injection, meropenem, 100 mg | 5.3K | $3.1K | $0.58 | 25.50x |
| J0878 | Injection, daptomycin, 1 mg | 17.2K | $2.2K | $0.13 | 8.05x |
This provider submits charges 3.88 times higher than what Medicare actually pays.
A markup ratio of 3.88x means for every $100 Medicare pays, this provider initially charges $388. This is higher 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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