Statistical flag only — not an accusation of fraud
⚠️ This provider averages 209 services per working day — physically unusual for an individual practitioner
Based on 521.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
96.7% COVID test billing in 2023. 1,884 services per day. Anti-aging spa doctor billing $5.7M in COVID tests. Also bills EEGs, nerve conduction, trigger points, ultrasonic guidance — unusual for internal medicine. Billing jumped from $0.2M to $5.7M (28x increase) in one year.
Medical Director at XBody Health, Wellness & Spa in Wayne, NJ. Anti-aging medicine specialist. 'Top Doctor 2019' for Internal and Integrative Medicine. Specializes in Lyme disease, MINT threads, carboxytherapy, peptide treatments.
This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 209 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 4000% from 2014 to 2023.
72% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
This provider has been statistically flagged with a risk score of 88/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2306% in 2023
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 | $674.72 | $86.06 | 7.84x | $588.66 | $138.1K | 1.6K | 9 |
| 2015 | $423.14 | $58.61 | 7.22x | $364.53 | $279.9K | 4.8K | 22 |
| 2016 | $264.88 | $37.94 | 6.98x | $226.94 | $350.7K | 9.2K | 26 |
| 2017 | $417.43 | $49.73 | 8.39x | $367.70 | $356.1K | 7.2K | 20 |
| 2018 | $491.97 | $52.81 | 9.32x | $439.16 | $276.4K | 5.2K | 22 |
| 2019 | $512.14 | $53.74 | 9.53x | $458.40 | $266.5K | 5.0K | 20 |
| 2020 | $321.91 | $37.65 | 8.55x | $284.26 | $228.6K | 6.1K | 25 |
| 2021 | $283.77 | $32.06 | 8.85x | $251.71 | $181.6K | 5.7K | 20 |
| 2022 | $333.79 | $38.81 | 8.60x | $294.98 | $235.4K | 6.1K | 26 |
| 2023 | $15.78 | $12.02 | 1.31x | $3.76 | $5.7M | 471.0K | 29.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 465.6K | $5.5M | $11.76 | 1.02x |
| 76942 | Ultrasonic guidance for needle placement | 4.7K | $254.8K | $53.74 | 13.15x |
| 20553 | Injection of trigger points, 3 or more muscles | 4.3K | $237.4K | $55.75 | 10.86x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 540 | $180.2K | $333.76 | 4.56x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 2.1K | $176.9K | $84.48 | 4.44x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.4K | $141.9K | $99.83 | 4.48x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.2K | $141.8K | $116.96 | 3.85x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.6K | $132.3K | $80.45 | 13.41x |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 466 | $128.7K | $276.28 | 6.02x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.6K | $109.9K | $67.68 | 5.29x |
| 95913 | Nerve conduction, 13 or more studies | 376 | $99.4K | $264.42 | 18.90x |
| 95004 | Test for allergy using allergenic extract | 16.9K | $80.2K | $4.74 | 19.07x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 839 | $76.4K | $91.01 | 2.98x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 527 | $73.7K | $139.89 | 3.48x |
| 95911 | Nerve conduction, 9-10 studies | 278 | $57.2K | $205.60 | 18.06x |
| 92585 | Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system | 457 | $56.4K | $123.35 | 3.55x |
| 97814 | Acupuncture with electrical stimulation, each additional 15 minutes | 1.8K | $55.9K | $31.75 | 5.67x |
| 95930 | Measurement of nerve conduction using visual stimulation testing with report | 500 | $50.3K | $100.51 | 4.90x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1.0K | $44.4K | $42.59 | 6.56x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 276 | $34.6K | $125.40 | 7.61x |
This provider submits charges 3.34 times higher than what Medicare actually pays.
A markup ratio of 3.34x means for every $100 Medicare pays, this provider initially charges $334. 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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