⚠️ This provider averages 237 services per working day — physically unusual for an individual practitioner
Based on 593.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.6M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Averaging 237 services per working day raises questions about billing patterns.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $133.60 | $33.56 | 3.98x | $100.04 | $1.2M | 71.0K | 40.7K |
| 2015 | $160.01 | $39.75 | 4.03x | $120.26 | $1.3M | 74.0K | 43.5K |
| 2016 | $164.51 | $40.14 | 4.10x | $124.37 | $1.3M | 77.6K | 46.0K |
| 2017 | $138.39 | $41.75 | 3.31x | $96.64 | $1.2M | 71.7K | 42.3K |
| 2018 | $135.91 | $35.19 | 3.86x | $100.72 | $1.0M | 64.2K | 38.8K |
| 2019 | $138.35 | $35.69 | 3.88x | $102.66 | $850.9K | 54.6K | 33.9K |
| 2020 | $134.99 | $35.77 | 3.77x | $99.22 | $624.1K | 41.5K | 26.2K |
| 2021 | $126.15 | $34.81 | 3.62x | $91.34 | $751.5K | 48.5K | 29.5K |
| 2022 | $102.62 | $28.29 | 3.63x | $74.33 | $667.5K | 44.9K | 27.9K |
| 2023 | $85.52 | $28.29 | 3.02x | $57.23 | $694.0K | 45.6K | 28.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.4K | $1.3M | $82.67 | 2.83x |
| 80053 | Blood test, comprehensive group of blood chemicals | 70.0K | $814.0K | $11.62 | 3.67x |
| 82306 | Vitamin D-3 level | 20.7K | $739.0K | $35.65 | 2.89x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 37.3K | $734.1K | $19.68 | 3.24x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 46.1K | $638.5K | $13.84 | 3.84x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 60.8K | $574.7K | $9.45 | 3.27x |
| 83036 | Hemoglobin A1C level | 36.0K | $408.3K | $11.35 | 3.15x |
| 83970 | Parathormone (parathyroid hormone) level | 7.7K | $397.7K | $51.32 | 2.53x |
| 36415 | Insertion of needle into vein for collection of blood sample | 83.9K | $277.2K | $3.30 | 4.54x |
| 71250 | CT scan chest | 3.3K | $266.3K | $80.13 | 5.31x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 15.0K | $264.6K | $17.69 | 3.32x |
| 84439 | Thyroxine (thyroid chemical) measurement | 19.5K | $202.5K | $10.39 | 3.26x |
| 84153 | PSA (prostate specific antigen) measurement | 6.5K | $146.7K | $22.49 | 3.15x |
| 83721 | LDL cholesterol level | 11.7K | $138.3K | $11.84 | 2.91x |
| 76536 | Ultrasound of head and neck | 1.6K | $114.4K | $72.60 | 3.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 865 | $107.7K | $124.53 | 3.04x |
| 74176 | CT scan of abdomen and pelvis | 969 | $102.4K | $105.71 | 4.88x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 478 | $100.3K | $209.86 | 4.74x |
| 82728 | Ferritin (blood protein) level | 5.8K | $95.7K | $16.51 | 3.38x |
| 77085 | Bone density measurement using dedicated X-ray machine | 2.0K | $92.3K | $46.78 | 2.95x |
This provider submits charges 3.39 times higher than what Medicare actually pays.
A markup ratio of 3.39x means for every $100 Medicare pays, this provider initially charges $339. This is higher 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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