This provider averages 52 services per working day
Based on 129.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.6M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 658% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2845% in 2016
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 | $277.58 | $154.14 | 1.80x | $123.44 | $145.2K | 1.1K | 1.1K |
| 2015 | $225.42 | $76.41 | 2.95x | $149.01 | $39.5K | 408 | 203 |
| 2016 | $249.33 | $59.20 | 4.21x | $190.13 | $1.2M | 15.7K | 4.2K |
| 2017 | $228.63 | $46.37 | 4.93x | $182.26 | $864.2K | 13.6K | 3.8K |
| 2018 | $257.91 | $54.24 | 4.75x | $203.67 | $506.0K | 6.4K | 1.9K |
| 2019 | $261.99 | $119.37 | 2.19x | $142.62 | $701.3K | 10.8K | 3.5K |
| 2020 | $139.46 | $55.54 | 2.51x | $83.92 | $880.7K | 16.9K | 4.1K |
| 2021 | $111.75 | $46.06 | 2.43x | $65.69 | $1.3M | 22.9K | 3.7K |
| 2022 | $92.50 | $37.24 | 2.48x | $55.26 | $925.2K | 18.0K | 3.8K |
| 2023 | $110.99 | $40.91 | 2.71x | $70.08 | $1.1M | 24.2K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for insertion of needle | 30.7K | $3.0M | $97.34 | 2.99x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 23.4K | $1.4M | $58.01 | 2.94x |
| 27370 | Injection of contract for X-ray imaging of knee | 7.5K | $1.1M | $143.32 | 4.85x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 9.4K | $605.0K | $64.60 | 3.74x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 4.1K | $519.7K | $127.32 | 2.85x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 3.0K | $317.8K | $106.64 | 2.79x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.1K | $165.9K | $40.21 | 2.91x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.7K | $102.5K | $59.27 | 3.13x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 10.2K | $97.6K | $9.53 | 2.51x |
| 27369 | Injection of contrast for imaging of knee joint | 687 | $87.4K | $127.16 | 2.32x |
| 72148 | MRI scan of lower spinal canal | 370 | $36.0K | $97.39 | 1.55x |
| 73721 | MRI scan of leg joint | 166 | $30.1K | $181.39 | 2.10x |
| 73560 | X-ray of knee, 1 or 2 views | 1.1K | $29.7K | $26.67 | 4.53x |
| 73221 | MRI scan of arm joint | 140 | $25.7K | $183.79 | 2.15x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 17 | $17.2K | $1.0K | 1.83x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 216 | $11.7K | $53.96 | 2.50x |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 214 | $11.3K | $52.70 | 2.50x |
| 72141 | MRI scan of upper spinal canal | 93 | $11.1K | $119.35 | 2.09x |
| 73562 | X-ray of knee, 3 views | 326 | $11.0K | $33.73 | 4.74x |
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 960 | $9.4K | $9.80 | 2.72x |
This provider submits charges 3.27 times higher than what Medicare actually pays.
A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. 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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