This provider averages 74 services per working day
Based on 184.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 74 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 138% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 54% in 2015
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 | $91.24 | $38.57 | 2.37x | $52.67 | $453.3K | 10.5K | 5.0K |
| 2015 | $90.64 | $38.41 | 2.36x | $52.23 | $698.0K | 15.7K | 6.9K |
| 2016 | $90.72 | $38.72 | 2.34x | $52.00 | $677.8K | 15.7K | 6.8K |
| 2017 | $107.98 | $43.71 | 2.47x | $64.27 | $877.8K | 20.8K | 10.0K |
| 2018 | $92.18 | $39.20 | 2.35x | $52.98 | $726.4K | 17.9K | 8.7K |
| 2019 | $105.48 | $47.62 | 2.22x | $57.86 | $779.5K | 17.9K | 9.2K |
| 2020 | $98.01 | $41.61 | 2.36x | $56.40 | $817.7K | 18.9K | 8.9K |
| 2021 | $100.99 | $44.20 | 2.28x | $56.79 | $895.1K | 19.5K | 9.8K |
| 2022 | $109.75 | $47.52 | 2.31x | $62.23 | $1.1M | 23.7K | 10.8K |
| 2023 | $112.53 | $47.48 | 2.37x | $65.05 | $1.1M | 23.4K | 10.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.7K | $2.3M | $82.76 | 2.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.3K | $1.6M | $59.32 | 2.83x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 25.1K | $956.9K | $38.07 | 2.63x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.4K | $668.4K | $124.66 | 1.80x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 5.1K | $390.3K | $76.27 | 2.62x |
| 76705 | Ultrasound of abdomen | 2.7K | $194.1K | $72.09 | 2.76x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $163.1K | $122.17 | 2.09x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 1.3K | $115.3K | $87.51 | 2.23x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.9K | $104.9K | $15.27 | 2.91x |
| 83036 | Hemoglobin A1C level | 9.4K | $104.5K | $11.08 | 3.16x |
| 82948 | Blood glucose (sugar) measurement using reagent strip | 21.5K | $99.6K | $4.62 | 2.60x |
| 90662 | Vaccine for influenza for injection into muscle | 1.4K | $85.3K | $62.77 | 1.14x |
| 93923 | Ultrasound study of arteries of both arms and legs | 709 | $76.0K | $107.16 | 2.80x |
| G0008 | Administration of influenza virus vaccine | 3.1K | $74.9K | $24.41 | 1.78x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 785 | $73.8K | $94.00 | 1.57x |
| 99493 | Subsequent psychiatric collaborative care management, first 60 minutes in subsequent month of behavioral health care manager activities | 682 | $73.8K | $108.20 | 1.92x |
| 97597 | Removal of tissue from wounds per session | 958 | $70.1K | $73.20 | 1.57x |
| 87635 | Sars-cov-2 covid-19 amp prb | 1.2K | $62.6K | $50.70 | 1.74x |
| G0444 | Annual depression screening, 15 minutes | 3.2K | $61.2K | $19.11 | 1.68x |
| 93922 | Ultrasound study of arteries of both arms and legs | 729 | $52.1K | $71.49 | 3.21x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. This is higher than the national average.
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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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