This provider averages 167 services per working day
Based on 251.2K total services over 6 years (250 working days/year). Learn about impossible service volumes →
Averaging 167 services per working day raises questions about billing patterns.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $1.4K | $464.57 | 2.98x | $920.68 | $18.1M | 38.9K | 38.2K |
| 2019 | $1.6K | $464.57 | 3.53x | $1.2K | $17.5M | 37.7K | 37.1K |
| 2020 | $725.08 | $464.58 | 1.56x | $260.50 | $22.5M | 48.5K | 47.7K |
| 2021 | $1.0K | $464.57 | 2.15x | $536.17 | $21.8M | 47.0K | 46.2K |
| 2022 | $1.4K | $464.58 | 2.98x | $919.45 | $19.3M | 41.6K | 40.9K |
| 2023 | $1.6K | $464.58 | 3.34x | $1.1K | $17.4M | 37.5K | 36.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, low complexity | 36.4K | $25.2M | $693.52 | 1.72x |
| 99214 | Office/outpatient visit, moderate complexity | 41.9K | $16.7M | $397.13 | 2.24x |
| 99215 | Office/outpatient visit, high complexity | 39.0K | $12.1M | $310.04 | 2.33x |
| 99203 | Office/outpatient visit, new patient | 25.9K | $10.6M | $409.94 | 2.73x |
| 36415 | Insertion of needle into vein for blood collection | 18.0K | $7.9M | $437.70 | 3.18x |
| 80053 | Comprehensive metabolic panel | 17.7K | $6.6M | $372.47 | 3.85x |
| 93000 | Electrocardiogram with interpretation | 9.4K | $4.5M | $480.10 | 3.34x |
| 85025 | Complete blood cell count | 4.7K | $3.8M | $792.84 | 4.96x |
| 96372 | Therapeutic injection | 4.4K | $3.5M | $790.83 | 2.32x |
| 71046 | Chest X-ray, 2 views | 6.8K | $2.6M | $380.09 | 3.41x |
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.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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