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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Firas Akhrass
๐Ÿ’Š
MDIndividual

Firas Akhrass, MD

NPI: 1487636205
San Antonio, TX
10 years of data
Endocrinology
$6.4M
Total Payments
157.9K
Beneficiaries
284.5K
Services
2.48x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$6.4M
Specialty median$76.9K

๐Ÿ“‹ Key Findings

1Billed $6.4M over 10 years
22.48x markup ratio (above median)
399th percentile in Endocrinology by payments
4114 services/day โ€” unusually high
54 procedures with >3x markup

This provider averages 114 services per working day

Based on 284.5K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.

Averaging 114 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 79% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$61.46$27.042.27x$34.42$439.3K21.2K11.7K
2015$58.80$24.762.37x$34.04$502.9K24.5K13.7K
2016$59.46$24.772.40x$34.69$521.4K24.9K12.9K
2017$59.61$24.852.40x$34.76$626.0K28.7K16.2K
2018$62.30$24.142.58x$38.16$626.6K26.8K14.5K
2019$71.37$26.292.71x$45.08$769.8K34.7K19.6K
2020$74.36$26.562.80x$47.80$626.3K28.5K15.7K
2021$79.03$29.422.69x$49.61$779.1K32.0K18.1K
2022$82.58$30.902.67x$51.68$730.9K30.6K17.7K
2023$88.82$32.242.75x$56.58$786.3K32.6K17.8K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$2.1M
26.8K services$77.44/svc2.41x markup
82306Vitamin D-3 level
$423.7K
13.0K services$32.50/svc2.30x markup
83970Parathormone (parathyroid hormone) level
$397.6K
9.0K services$44.10/svc2.48x markup
84443Blood test, thyroid stimulating hormone (TSH)
$366.1K
19.3K services$18.99/svc2.51x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$355.3K
6.9K services$51.34/svc2.30x markup
80053Blood test, comprehensive group of blood chemicals
$273.9K
25.3K services$10.83/svc2.56x markup
80061Blood test, lipids (cholesterol and triglycerides)
$248.4K
18.6K services$13.35/svc2.61x markup
83036Hemoglobin A1C level
$248.1K
22.7K services$10.92/svc2.55x markup
76536Ultrasound of head and neck
$216.9K
2.7K services$79.85/svc2.70x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test
$143.9K
16.6K services$8.67/svc2.34x markup
99204New patient office or other outpatient visit, typically 45 minutes
$130.7K
1.2K services$113.57/svc2.37x markup
84439Thyroxine (thyroid chemical) measurementโš  3.3x markup
$119.3K
11.9K services$10.07/svc3.27x markup
82728Ferritin (blood protein) level
$100.5K
6.7K services$15.04/svc2.34x markup
36415Insertion of needle into vein for collection of blood sample
$100.1K
31.0K services$3.23/svc1.86x markup
82607Cyanocobalamin (vitamin B-12) level
$95.6K
5.9K services$16.12/svc2.50x markup
95251Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hoursโš  3.1x markup
$85.8K
3.2K services$26.93/svc3.12x markup
82985Glycated protein level
$84.0K
4.7K services$17.89/svc2.29x markup
95250Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hoursโš  3.1x markup
$82.2K
770 services$106.72/svc3.09x markup
77080Bone density measurement using dedicated X-ray machineโš  3.5x markup
$73.4K
1.9K services$37.83/svc3.54x markup
84681C-peptide (protein) level
$66.7K
3.0K services$22.07/svc2.50x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes26.8K$2.1M$77.442.41x
82306Vitamin D-3 level13.0K$423.7K$32.502.30x
83970Parathormone (parathyroid hormone) level9.0K$397.6K$44.102.48x
84443Blood test, thyroid stimulating hormone (TSH)19.3K$366.1K$18.992.51x
99213Established patient office or other outpatient visit, typically 15 minutes6.9K$355.3K$51.342.30x
80053Blood test, comprehensive group of blood chemicals25.3K$273.9K$10.832.56x
80061Blood test, lipids (cholesterol and triglycerides)18.6K$248.4K$13.352.61x
83036Hemoglobin A1C level22.7K$248.1K$10.922.55x
76536Ultrasound of head and neck2.7K$216.9K$79.852.70x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test16.6K$143.9K$8.672.34x
99204New patient office or other outpatient visit, typically 45 minutes1.2K$130.7K$113.572.37x
84439Thyroxine (thyroid chemical) measurement11.9K$119.3K$10.073.27x
82728Ferritin (blood protein) level6.7K$100.5K$15.042.34x
36415Insertion of needle into vein for collection of blood sample31.0K$100.1K$3.231.86x
82607Cyanocobalamin (vitamin B-12) level5.9K$95.6K$16.122.50x
95251Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours3.2K$85.8K$26.933.12x
82985Glycated protein level4.7K$84.0K$17.892.29x
95250Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours770$82.2K$106.723.09x
77080Bone density measurement using dedicated X-ray machine1.9K$73.4K$37.833.54x
84681C-peptide (protein) level3.0K$66.7K$22.072.50x

Markup Analysis

Charge-to-Payment Ratio

2.48x

This provider submits charges 2.48 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.48x means for every $100 Medicare pays, this provider initially charges $248. This is higher than the national average.

Location

San Antonio, TX

Provider Verification

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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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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