This provider averages 114 services per working day
Based on 57.1K total services over 2 years (250 working days/year). Learn about impossible service volumes →
Averaging 114 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 63% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $1.2K | $641.66 | 1.91x | $581.63 | $13.9M | 21.7K | 17.7K |
| 2023 | $1.7K | $641.65 | 2.69x | $1.1K | $22.7M | 35.4K | 28.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, low complexity | 13.0K | $10.7M | $824.41 | 2.08x |
| 99203 | Office/outpatient visit, new patient | 8.4K | $4.2M | $493.52 | 2.17x |
| 99214 | Office/outpatient visit, moderate complexity | 3.3K | $3.1M | $936.82 | 1.88x |
| 36415 | Insertion of needle into vein for blood collection | 5.9K | $2.6M | $429.29 | 2.42x |
| 99215 | Office/outpatient visit, high complexity | 4.4K | $2.4M | $551.69 | 2.35x |
| 85025 | Complete blood cell count | 1.7K | $2.0M | $1.2K | 4.06x |
| 71046 | Chest X-ray, 2 views | 2.4K | $1.6M | $666.29 | 2.95x |
| 80053 | Comprehensive metabolic panel | 1.9K | $1.1M | $574.29 | 4.50x |
| 93000 | Electrocardiogram with interpretation | 1.1K | $1.0M | $936.69 | 2.61x |
| 96372 | Therapeutic injection | 629 | $627.7K | $997.96 | 2.67x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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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