This provider averages 95 services per working day
Based on 238.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.8M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Averaging 95 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 75% from 2014 to 2023.
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 | $272.51 | $44.47 | 6.13x | $228.04 | $479.3K | 10.5K | 7.0K |
| 2015 | $127.48 | $33.56 | 3.80x | $93.92 | $626.2K | 23.4K | 12.5K |
| 2016 | $124.13 | $42.29 | 2.94x | $81.84 | $711.6K | 26.4K | 14.0K |
| 2017 | $121.09 | $39.59 | 3.06x | $81.50 | $711.8K | 23.7K | 13.7K |
| 2018 | $110.91 | $34.10 | 3.25x | $76.81 | $607.3K | 20.9K | 11.2K |
| 2019 | $143.32 | $32.98 | 4.35x | $110.34 | $629.6K | 23.5K | 12.1K |
| 2020 | $117.84 | $37.37 | 3.15x | $80.47 | $569.7K | 21.9K | 11.0K |
| 2021 | $93.83 | $33.24 | 2.82x | $60.59 | $761.5K | 26.5K | 12.8K |
| 2022 | $97.23 | $32.32 | 3.01x | $64.91 | $824.0K | 29.9K | 13.3K |
| 2023 | $96.76 | $30.90 | 3.13x | $65.86 | $839.5K | 31.8K | 14.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.1K | $1.9M | $94.40 | 2.02x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.7K | $927.8K | $139.13 | 1.90x |
| 76536 | Ultrasound of head and neck | 4.5K | $467.5K | $104.45 | 3.88x |
| 83970 | Parathormone (parathyroid hormone) level | 8.6K | $394.8K | $46.17 | 3.73x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 18.1K | $352.1K | $19.48 | 3.73x |
| 82306 | Vitamin D-3 level | 8.1K | $264.3K | $32.77 | 3.85x |
| 80053 | Blood test, comprehensive group of blood chemicals | 19.0K | $206.3K | $10.87 | 3.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $153.3K | $68.86 | 2.06x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 16.8K | $150.4K | $8.96 | 3.80x |
| 84439 | Thyroxine (thyroid chemical) measurement | 14.3K | $148.5K | $10.37 | 3.83x |
| 84481 | Thyroid hormone, T3 measurement | 7.0K | $130.3K | $18.60 | 3.65x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 9.2K | $124.5K | $13.53 | 4.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 783 | $107.7K | $137.56 | 2.60x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 5.6K | $97.8K | $17.53 | 3.68x |
| 83036 | Hemoglobin A1C level | 7.8K | $85.2K | $10.97 | 3.39x |
| 82985 | Glycated protein level | 4.5K | $83.2K | $18.57 | 3.67x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.7K | $78.3K | $46.65 | 8.09x |
| 84403 | Testosterone (hormone) level | 2.5K | $73.8K | $29.19 | 3.73x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 394 | $72.4K | $183.75 | 1.92x |
| 36415 | Insertion of needle into vein for collection of blood sample | 20.4K | $72.2K | $3.54 | 13.83x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. 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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