⚠️ This provider averages 636 services per working day — physically unusual for an individual practitioner
Based on 1.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.9M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 636 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1146% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 326% 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 | $143.08 | $46.79 | 3.06x | $96.29 | $194.9K | 5.1K | 2.6K |
| 2015 | $177.24 | $55.93 | 3.17x | $121.31 | $195.8K | 4.8K | 2.5K |
| 2016 | $84.13 | $23.69 | 3.55x | $60.44 | $646.9K | 37.8K | 34.5K |
| 2017 | $89.19 | $27.41 | 3.25x | $61.78 | $2.8M | 189.7K | 109.9K |
| 2018 | $80.11 | $25.79 | 3.11x | $54.32 | $3.0M | 204.6K | 121.0K |
| 2019 | $75.87 | $23.54 | 3.22x | $52.33 | $3.5M | 266.6K | 163.1K |
| 2020 | $80.08 | $25.47 | 3.14x | $54.61 | $2.9M | 234.0K | 142.5K |
| 2021 | $144.15 | $42.06 | 3.43x | $102.09 | $3.3M | 235.9K | 139.9K |
| 2022 | $146.23 | $37.31 | 3.92x | $108.92 | $3.0M | 215.3K | 130.2K |
| 2023 | $166.43 | $33.68 | 4.94x | $132.75 | $2.4M | 195.0K | 119.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 205.1K | $2.8M | $13.70 | 5.11x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 145.1K | $2.7M | $18.28 | 3.94x |
| 80053 | Blood test, comprehensive group of blood chemicals | 238.6K | $2.6M | $11.10 | 5.77x |
| 82306 | Vitamin D-3 level | 65.6K | $2.1M | $32.00 | 3.78x |
| 83036 | Hemoglobin A1C level | 159.8K | $1.7M | $10.46 | 4.88x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 186.3K | $1.6M | $8.36 | 4.31x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.1K | $1.0M | $72.96 | 3.65x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 38.7K | $637.4K | $16.46 | 4.37x |
| 84481 | Thyroid hormone, T3 measurement | 24.1K | $438.8K | $18.21 | 3.84x |
| 84439 | Thyroxine (thyroid chemical) measurement | 47.2K | $436.1K | $9.25 | 5.08x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 20.7K | $423.1K | $20.40 | 4.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.7K | $399.7K | $51.61 | 3.50x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.1K | $349.7K | $113.21 | 2.48x |
| 82728 | Ferritin (blood protein) level | 18.4K | $271.1K | $14.73 | 3.87x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 39.0K | $270.5K | $6.93 | 4.62x |
| 80048 | Blood test, basic group of blood chemicals | 28.2K | $252.2K | $8.93 | 5.26x |
| 82043 | Urine microalbumin (protein) level | 37.0K | $230.7K | $6.24 | 7.05x |
| 36415 | Insertion of needle into vein for collection of blood sample | 61.0K | $210.0K | $3.44 | 5.81x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 37.0K | $206.7K | $5.59 | 4.83x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 3.7K | $151.2K | $40.37 | 3.29x |
This provider submits charges 4.52 times higher than what Medicare actually pays.
A markup ratio of 4.52x means for every $100 Medicare pays, this provider initially charges $452. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data