⚠️ This provider averages 317 services per working day — physically unusual for an individual practitioner
Based on 793.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $24.6M in total Medicare payments ranks in the 99th percentile of Allergy/ Immunology providers nationally.
Averaging 317 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1491% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 221% 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 | $60.50 | $14.14 | 4.28x | $46.36 | $290.2K | 20.5K | 14 |
| 2015 | $44.46 | $15.55 | 2.86x | $28.91 | $381.5K | 24.5K | 16 |
| 2016 | $80.94 | $23.17 | 3.49x | $57.77 | $1.2M | 52.9K | 16 |
| 2017 | $95.60 | $22.91 | 4.17x | $72.69 | $1.6M | 71.0K | 18 |
| 2018 | $104.61 | $25.43 | 4.11x | $79.18 | $2.2M | 85.3K | 22 |
| 2019 | $148.15 | $39.95 | 3.71x | $108.20 | $3.6M | 90.5K | 21 |
| 2020 | $145.87 | $35.18 | 4.15x | $110.69 | $3.5M | 99.9K | 21 |
| 2021 | $130.81 | $33.09 | 3.95x | $97.72 | $3.5M | 104.6K | 23 |
| 2022 | $146.52 | $33.94 | 4.32x | $112.58 | $3.7M | 109.0K | 20 |
| 2023 | $148.23 | $34.13 | 4.34x | $114.10 | $4.6M | 135.3K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 246.2K | $7.0M | $28.55 | 1.79x |
| J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | 96.4K | $5.9M | $61.18 | 5.20x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 104.5K | $3.7M | $35.50 | 6.77x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 44.2K | $2.5M | $55.79 | 4.31x |
| J2182 | Injection, mepolizumab, 1 mg | 41.1K | $945.3K | $23.00 | 2.08x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 28.2K | $835.0K | $29.62 | 7.24x |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | 28.6K | $742.3K | $25.99 | 6.10x |
| J0517 | Injection, benralizumab, 1 mg | 3.3K | $440.3K | $133.43 | 1.70x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.2K | $338.2K | $54.97 | 1.73x |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 27.3K | $285.1K | $10.44 | 1.79x |
| 95004 | Test for allergy using allergenic extract | 68.4K | $275.4K | $4.03 | 1.87x |
| 95117 | Professional service for multiple injections of allergen | 37.1K | $273.4K | $7.36 | 3.80x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 8.1K | $266.3K | $33.05 | 7.20x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 4.6K | $244.6K | $53.71 | 3.03x |
| J2356 | Injection, tezepelumab-ekko, 1 mg | 13.4K | $192.6K | $14.33 | 2.01x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.6K | $191.6K | $116.45 | 1.78x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 8.8K | $143.2K | $16.26 | 3.25x |
| 96372 | Injection of drug or substance under skin or into muscle | 8.9K | $113.7K | $12.75 | 5.61x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 773 | $43.6K | $56.45 | 1.51x |
| 95115 | Professional service for single injection of allergen | 5.8K | $36.4K | $6.23 | 3.37x |
This provider submits charges 4.07 times higher than what Medicare actually pays.
A markup ratio of 4.07x means for every $100 Medicare pays, this provider initially charges $407. 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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