This provider averages 190 services per working day
Based on 332.7K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Gastroenterology providers nationally.
Averaging 190 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 70968% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 9117% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $152.74 | $40.50 | 3.77x | $112.24 | $2.4K | 56 | 56 |
| 2016 | $126.49 | $28.31 | 4.47x | $98.18 | $8.7K | 225 | 225 |
| 2017 | $118.13 | $23.70 | 4.98x | $94.43 | $18.0K | 530 | 527 |
| 2018 | $129.06 | $21.80 | 5.92x | $107.26 | $41.5K | 1.4K | 1.4K |
| 2021 | $73.81 | $10.04 | 7.35x | $63.77 | $3.8M | 129.4K | 123.7K |
| 2022 | $78.69 | $13.58 | 5.79x | $65.11 | $755.7K | 72.1K | 58.3K |
| 2023 | $95.03 | $20.23 | 4.70x | $74.80 | $1.7M | 129.0K | 88.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 35.5K | $1.4M | $38.05 | 1.97x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 37.1K | $1.1M | $28.29 | 1.80x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 13.5K | $485.9K | $36.07 | 2.08x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 2.5K | $341.2K | $139.28 | 1.79x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 14.2K | $341.1K | $23.96 | 2.05x |
| 36415 | Insertion of needle into vein for collection of blood sample | 61.7K | $305.3K | $4.95 | 4.44x |
| 0004A | Fee covid-19 vac 1 res | 6.4K | $264.9K | $41.51 | 1.81x |
| 0124A | Fee covid-19 vac 13 res | 5.3K | $214.4K | $40.29 | 2.01x |
| 80053 | Blood test, comprehensive group of blood chemicals | 20.9K | $195.8K | $9.35 | 8.24x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 14.8K | $177.9K | $12.02 | 7.99x |
| 0003A | Fee covid-19 vac 1 booster | 3.3K | $139.4K | $41.63 | 1.80x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 8.9K | $139.1K | $15.66 | 6.90x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 19.7K | $136.9K | $6.93 | 6.92x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 3.0K | $118.4K | $40.14 | 1.99x |
| 0064A | Fee covid-19 vac 7 res | 2.6K | $109.1K | $41.17 | 1.87x |
| 90480 | Admn sarscov2 vacc 1 dose | 2.4K | $102.5K | $41.91 | 2.03x |
| 82306 | Vitamin d-3 level | 3.2K | $82.9K | $25.90 | 8.65x |
| 83036 | Hemoglobin a1c level | 9.1K | $76.2K | $8.42 | 8.08x |
| 90662 | Vaccine for influenza for injection into muscle, split virus, preservation free | 918 | $61.8K | $67.37 | 1.29x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 6.5K | $50.3K | $7.69 | 7.93x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. 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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