This provider averages 150 services per working day
Based on 373.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 150 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 | $120.41 | $45.67 | 2.64x | $74.74 | $823.8K | 40.4K | 15.4K |
| 2015 | $112.93 | $52.31 | 2.16x | $60.62 | $828.0K | 40.2K | 16.3K |
| 2016 | $109.66 | $49.60 | 2.21x | $60.06 | $773.1K | 39.6K | 17.2K |
| 2017 | $91.83 | $38.77 | 2.37x | $53.06 | $738.0K | 39.0K | 17.7K |
| 2018 | $92.35 | $39.31 | 2.35x | $53.04 | $705.2K | 33.3K | 15.2K |
| 2019 | $94.09 | $41.50 | 2.27x | $52.59 | $771.8K | 32.4K | 18.9K |
| 2020 | $100.00 | $43.87 | 2.28x | $56.13 | $764.1K | 33.6K | 17.3K |
| 2021 | $102.50 | $46.39 | 2.21x | $56.11 | $772.3K | 36.3K | 19.3K |
| 2022 | $130.28 | $58.62 | 2.22x | $71.66 | $861.9K | 40.4K | 21.8K |
| 2023 | $155.11 | $57.96 | 2.68x | $97.15 | $762.4K | 38.6K | 20.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 37.3K | $2.2M | $58.47 | 2.11x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.5K | $480.9K | $136.05 | 1.48x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 20.9K | $407.4K | $19.53 | 2.13x |
| 82746 | Folic acid level | 20.7K | $353.4K | $17.10 | 2.25x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 19.5K | $341.7K | $17.53 | 2.28x |
| 82728 | Ferritin (blood protein) level | 20.7K | $327.8K | $15.85 | 2.52x |
| 82306 | Vitamin D-3 level | 9.7K | $319.4K | $33.00 | 2.42x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.1K | $241.0K | $217.67 | 1.69x |
| 84439 | Thyroxine (thyroid chemical) measurement | 20.9K | $218.8K | $10.49 | 2.38x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 20.8K | $210.0K | $10.08 | 2.06x |
| 84403 | Testosterone (hormone) level | 6.8K | $202.9K | $29.98 | 2.33x |
| 83036 | Hemoglobin A1C level | 18.2K | $201.7K | $11.08 | 2.87x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 20.8K | $188.6K | $9.05 | 2.76x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.1K | $182.3K | $164.23 | 2.18x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.0K | $180.0K | $171.94 | 2.36x |
| 83735 | Magnesium level | 20.8K | $162.4K | $7.80 | 3.31x |
| 80048 | Blood test, basic group of blood chemicals | 20.9K | $158.3K | $7.58 | 3.61x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $154.5K | $140.80 | 2.61x |
| 86141 | Measurement C-reactive protein for detection of infection or inflammation | 8.6K | $149.4K | $17.29 | 2.02x |
| 80076 | Liver function blood test panel | 20.9K | $144.5K | $6.93 | 3.00x |
This provider submits charges 2.32 times higher than what Medicare actually pays.
A markup ratio of 2.32x means for every $100 Medicare pays, this provider initially charges $232. 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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