This provider averages 55 services per working day
Based on 136.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 55 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 | $142.73 | $74.43 | 1.92x | $68.30 | $775.6K | 13.7K | 5.3K |
| 2015 | $140.15 | $74.93 | 1.87x | $65.22 | $626.3K | 10.7K | 4.4K |
| 2016 | $127.86 | $68.99 | 1.85x | $58.87 | $659.8K | 11.7K | 5.1K |
| 2017 | $129.27 | $70.47 | 1.83x | $58.80 | $679.5K | 12.5K | 5.3K |
| 2018 | $124.79 | $66.79 | 1.87x | $58.00 | $834.3K | 15.5K | 6.0K |
| 2019 | $128.30 | $67.66 | 1.90x | $60.64 | $880.1K | 15.9K | 5.7K |
| 2020 | $128.09 | $69.94 | 1.83x | $58.15 | $916.7K | 16.2K | 5.2K |
| 2021 | $130.04 | $72.86 | 1.78x | $57.18 | $852.9K | 15.3K | 5.0K |
| 2022 | $132.96 | $72.98 | 1.82x | $59.98 | $779.3K | 14.4K | 4.9K |
| 2023 | $151.13 | $62.06 | 2.44x | $89.07 | $589.2K | 10.7K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 27.7K | $1.6M | $56.25 | 1.96x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 19.3K | $1.2M | $61.77 | 1.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.5K | $889.5K | $57.55 | 2.06x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 22.8K | $820.3K | $36.06 | 1.97x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 6.6K | $716.0K | $109.25 | 1.99x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.2K | $370.2K | $115.91 | 1.94x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.4K | $301.7K | $126.20 | 1.60x |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8K | $175.3K | $62.44 | 1.88x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.8K | $164.6K | $91.25 | 1.91x |
| 99220 | Hospital observation care typically 70 minutes per day | 909 | $141.6K | $155.74 | 1.89x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 737 | $126.2K | $171.18 | 1.89x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3K | $114.7K | $89.63 | 1.92x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $113.5K | $75.95 | 2.30x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 1.9K | $85.0K | $43.88 | 1.97x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 819 | $71.8K | $87.70 | 1.86x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 300 | $60.6K | $201.85 | 1.88x |
| 99219 | Hospital observation care typically 50 minutes | 490 | $55.7K | $113.57 | 1.88x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 635 | $45.9K | $72.35 | 1.98x |
| G0179 | Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im | 1.4K | $44.7K | $32.45 | 2.10x |
| G0008 | Administration of influenza virus vaccine | 1.8K | $42.2K | $23.33 | 1.53x |
This provider submits charges 1.96 times higher than what Medicare actually pays.
A markup ratio of 1.96x means for every $100 Medicare pays, this provider initially charges $196. 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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