⚠️ This provider averages 309 services per working day — physically unusual for an individual practitioner
Based on 386.2K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 309 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 116201% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 183893% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $74.53 | $37.07 | 2.01x | $37.46 | $2.5K | 68 | 3 |
| 2017 | $129.00 | $32.92 | 3.92x | $96.08 | $921.71 | 28 | 2 |
| 2021 | $66.62 | $18.65 | 3.57x | $47.97 | $1.7M | 91.0K | 16 |
| 2022 | $82.29 | $20.45 | 4.02x | $61.84 | $3.0M | 148.0K | 21 |
| 2023 | $87.30 | $19.92 | 4.38x | $67.38 | $2.9M | 147.1K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 24.0K | $1.0M | $43.59 | 3.24x |
| J2323 | Injection, natalizumab, 1 mg | 54.6K | $1.0M | $18.38 | 2.54x |
| J2182 | Injection, mepolizumab, 1 mg | 37.2K | $853.3K | $22.94 | 3.38x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 111.1K | $840.0K | $7.56 | 3.98x |
| J0517 | Injection, benralizumab, 1 mg | 5.8K | $771.0K | $133.17 | 4.01x |
| J2357 | Injection, omalizumab, 5 mg | 25.5K | $757.8K | $29.66 | 3.26x |
| J3380 | Injection, vedolizumab, 1 mg | 31.8K | $549.3K | $17.28 | 4.57x |
| J0897 | Injection, denosumab, 1 mg | 28.3K | $488.6K | $17.25 | 5.14x |
| J3245 | Injection, tildrakizumab, 1 mg | 3.0K | $326.8K | $108.94 | 4.34x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 11.4K | $322.7K | $28.30 | 9.90x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 8.9K | $313.8K | $35.42 | 5.35x |
| J2356 | Injection, tezepelumab-ekko, 1 mg | 6.7K | $96.5K | $14.36 | 3.74x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 2.3K | $81.5K | $34.83 | 4.78x |
| J1306 | Injection, inclisiran, 1 mg | 7.4K | $69.4K | $9.39 | 6.76x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 989 | $40.6K | $41.05 | 5.35x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 369 | $29.9K | $81.14 | 3.09x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 22.5K | $20.2K | $0.90 | 10.89x |
| 96372 | Injection of drug or substance under skin or into muscle | 2.0K | $18.0K | $8.94 | 5.66x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 657 | $8.6K | $13.06 | 4.60x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 383 | $6.8K | $17.86 | 4.48x |
This provider submits charges 4.06 times higher than what Medicare actually pays.
A markup ratio of 4.06x means for every $100 Medicare pays, this provider initially charges $406. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data