This provider averages 62 services per working day
Based on 154.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
85% of their billing comes from a single procedure code (99307 — Subsequent nursing facility visit, typically 10 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 74% in 2017
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 | $124.66 | $41.27 | 3.02x | $83.39 | $544.4K | 15.2K | 1.9K |
| 2015 | $118.50 | $37.74 | 3.14x | $80.76 | $530.2K | 15.6K | 1.8K |
| 2016 | $262.21 | $69.36 | 3.78x | $192.85 | $552.7K | 16.2K | 1.8K |
| 2017 | $254.26 | $58.41 | 4.35x | $195.85 | $964.1K | 21.7K | 2.5K |
| 2018 | $60.00 | $33.47 | 1.79x | $26.53 | $412.1K | 12.3K | 1.1K |
| 2019 | $72.57 | $43.31 | 1.68x | $29.26 | $543.0K | 16.0K | 894 |
| 2020 | $72.63 | $42.30 | 1.72x | $30.33 | $460.6K | 13.5K | 763 |
| 2021 | $72.42 | $43.41 | 1.67x | $29.01 | $325.2K | 9.6K | 615 |
| 2022 | $72.52 | $42.62 | 1.70x | $29.90 | $450.8K | 13.5K | 795 |
| 2023 | $88.35 | $40.90 | 2.16x | $47.45 | $639.7K | 21.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 139.2K | $4.6M | $32.94 | 2.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.1K | $221.9K | $54.59 | 2.24x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.8K | $147.7K | $52.11 | 2.67x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 1.3K | $90.9K | $67.82 | 7.58x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 572 | $69.0K | $120.59 | 2.74x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.1K | $50.9K | $45.75 | 13.55x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 883 | $40.5K | $45.92 | 7.14x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 316 | $36.7K | $116.23 | 3.48x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1.5K | $33.8K | $21.83 | 3.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 397 | $28.1K | $70.68 | 2.67x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 190 | $26.8K | $141.18 | 2.69x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 332 | $15.0K | $45.32 | 3.33x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 174 | $13.3K | $76.60 | 4.94x |
| G0179 | Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im | 387 | $11.1K | $28.71 | 2.81x |
| 99358 | Prolonged patient service without direct patient contact first hour | 104 | $8.9K | $85.97 | 3.03x |
| 23350 | Injection of dye for X-ray imaging of shoulder joint | 83 | $8.1K | $97.35 | 2.99x |
| 99347 | Established patient home visit, typically 15 minutes | 200 | $7.0K | $34.76 | 2.61x |
| 93922 | Ultrasound study of arteries of both arms and legs | 67 | $4.4K | $65.23 | 5.65x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 231 | $4.0K | $17.42 | 3.71x |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 152 | $3.8K | $24.70 | 2.07x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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.
Other Internal Medicine providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Owen Ellington, M.D, J.D. | Humble, TX | $34.4M | ✓ Clear |
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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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