This provider averages 60 services per working day
Based on 149.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 60 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 | $98.14 | $67.19 | 1.46x | $30.95 | $1.1M | 15.3K | 5.3K |
| 2015 | $102.27 | $71.42 | 1.43x | $30.85 | $1.1M | 15.9K | 5.9K |
| 2016 | $104.62 | $72.13 | 1.45x | $32.49 | $1.2M | 19.1K | 6.4K |
| 2017 | $103.34 | $70.88 | 1.46x | $32.46 | $892.9K | 12.6K | 4.8K |
| 2018 | $108.91 | $72.52 | 1.50x | $36.39 | $1.2M | 16.6K | 6.5K |
| 2019 | $110.62 | $72.51 | 1.53x | $38.11 | $902.1K | 13.3K | 5.4K |
| 2020 | $105.53 | $67.97 | 1.55x | $37.56 | $995.2K | 14.2K | 5.4K |
| 2021 | $112.49 | $76.64 | 1.47x | $35.85 | $1.0M | 13.7K | 5.6K |
| 2022 | $113.08 | $61.40 | 1.84x | $51.68 | $859.7K | 13.6K | 6.4K |
| 2023 | $119.29 | $61.17 | 1.95x | $58.12 | $987.1K | 15.3K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 28.7K | $2.1M | $71.87 | 2.04x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 28.4K | $1.7M | $58.19 | 1.72x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 22.8K | $1.4M | $60.87 | 1.37x |
| 99349 | Established patient home visit, typically 40 minutes | 8.4K | $827.1K | $98.41 | 2.03x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.6K | $732.4K | $111.43 | 1.30x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 4.1K | $461.3K | $113.74 | 1.37x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 3.4K | $363.0K | $107.67 | 1.39x |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.6K | $329.4K | $90.72 | 1.34x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.5K | $266.4K | $175.87 | 1.73x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.2K | $236.0K | $109.48 | 1.37x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.9K | $208.2K | $35.12 | 1.40x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $205.4K | $55.11 | 1.61x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 1.7K | $128.6K | $76.40 | 1.57x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.4K | $124.8K | $88.65 | 1.34x |
| 99219 | Hospital observation care typically 50 minutes | 1.0K | $118.4K | $113.24 | 1.35x |
| 90662 | Vaccine for influenza for injection into muscle | 2.4K | $117.4K | $49.44 | 1.12x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $111.1K | $94.73 | 1.80x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 783 | $103.5K | $132.25 | 1.47x |
| G0008 | Administration of influenza virus vaccine | 3.1K | $77.6K | $25.31 | 1.45x |
| G0444 | Annual depression screening, 15 minutes | 3.9K | $77.3K | $20.00 | 1.17x |
This provider submits charges 1.65 times higher than what Medicare actually pays.
A markup ratio of 1.65x means for every $100 Medicare pays, this provider initially charges $165. This is lower 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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