⚠️ This provider averages 240 services per working day — physically unusual for an individual practitioner
Based on 599.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 240 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 7700% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 354% in 2015
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 | $121.08 | $57.78 | 2.10x | $63.30 | $52.9K | 915 | 6 |
| 2015 | $124.02 | $56.22 | 2.21x | $67.80 | $239.8K | 4.3K | 9 |
| 2016 | $71.28 | $38.59 | 1.85x | $32.69 | $279.0K | 7.2K | 13 |
| 2017 | $66.87 | $37.98 | 1.76x | $28.89 | $922.3K | 24.3K | 13 |
| 2018 | $71.43 | $29.65 | 2.41x | $41.78 | $619.4K | 20.9K | 14 |
| 2019 | $148.60 | $38.86 | 3.82x | $109.74 | $2.2M | 57.2K | 14 |
| 2020 | $160.10 | $41.75 | 3.83x | $118.35 | $3.4M | 80.8K | 19 |
| 2021 | $68.28 | $35.25 | 1.94x | $33.03 | $2.9M | 82.8K | 16 |
| 2022 | $103.96 | $55.78 | 1.86x | $48.18 | $5.6M | 101.2K | 15 |
| 2023 | $49.70 | $18.80 | 2.64x | $30.90 | $4.1M | 219.4K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 177.2K | $6.7M | $38.09 | 2.70x |
| J9312 | Injection, rituximab, 10 mg | 68.9K | $4.7M | $67.66 | 2.69x |
| J3241 | Injection, teprotumumab-trbw, 10 mg | 11.9K | $3.0M | $251.75 | 1.59x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 221.7K | $2.9M | $13.13 | 2.73x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 23.1K | $761.0K | $32.93 | 2.73x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.3K | $551.4K | $75.65 | 2.38x |
| J3262 | Injection, tocilizumab, 1 mg | 63.5K | $295.5K | $4.65 | 2.64x |
| J3357 | Ustekinumab, for subcutaneous injection, 1 mg | 1.7K | $254.2K | $148.65 | 3.85x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 2.2K | $222.1K | $101.09 | 3.47x |
| J9310 | Injection, rituximab, 100 mg | 350 | $213.1K | $608.91 | 1.39x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 3.5K | $179.8K | $51.49 | 4.67x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.0K | $167.2K | $56.59 | 3.02x |
| 76881 | Complete ultrasound scan of joint | 2.3K | $118.3K | $52.56 | 5.34x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 876 | $99.8K | $113.91 | 2.90x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 2.9K | $64.7K | $22.42 | 4.78x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 357 | $53.1K | $148.61 | 2.51x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 389 | $43.2K | $111.15 | 3.38x |
| 96375 | Injection of additional new drug or substance into vein | 1.6K | $20.4K | $12.57 | 6.04x |
| 96372 | Injection of drug or substance under skin or into muscle | 871 | $12.0K | $13.78 | 3.93x |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 922 | $4.3K | $4.62 | 8.46x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. 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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