This provider averages 58 services per working day
Based on 146.2K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Averaging 58 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $94.95 | $32.40 | 2.93x | $62.55 | $374.0K | 10.8K | 8.1K |
| 2015 | $92.48 | $31.49 | 2.94x | $60.99 | $393.3K | 12.6K | 9.1K |
| 2016 | $76.74 | $24.92 | 3.08x | $51.82 | $376.1K | 12.6K | 9.3K |
| 2017 | $82.03 | $27.57 | 2.98x | $54.46 | $395.5K | 13.2K | 9.7K |
| 2018 | $84.75 | $28.24 | 3.00x | $56.51 | $414.4K | 13.8K | 10.2K |
| 2019 | $90.24 | $29.26 | 3.08x | $60.98 | $432.5K | 15.1K | 10.6K |
| 2020 | $76.69 | $27.04 | 2.84x | $49.65 | $427.5K | 15.2K | 10.5K |
| 2021 | $77.12 | $29.35 | 2.63x | $47.77 | $517.2K | 17.2K | 11.6K |
| 2022 | $74.85 | $28.11 | 2.66x | $46.74 | $491.1K | 17.3K | 11.2K |
| 2023 | $81.08 | $30.04 | 2.70x | $51.04 | $535.5K | 18.4K | 11.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.1K | $1.9M | $81.40 | 2.66x |
| 77080 | Bone density measurement using dedicated X-ray machine | 11.9K | $471.8K | $39.54 | 5.08x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $264.1K | $117.19 | 2.85x |
| 82306 | Vitamin D-3 level | 6.2K | $211.6K | $34.33 | 2.36x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 9.7K | $185.0K | $19.13 | 2.51x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 2.9K | $164.9K | $56.04 | 2.77x |
| 84439 | Thyroxine (thyroid chemical) measurement | 9.5K | $97.3K | $10.27 | 2.43x |
| 83036 | Hemoglobin A1C level | 8.8K | $96.5K | $10.98 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $94.7K | $54.73 | 2.70x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 3.0K | $83.7K | $27.46 | 3.24x |
| 10022 | Fine needle aspiration using imaging guidance | 760 | $81.8K | $107.57 | 2.64x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 658 | $66.2K | $100.53 | 2.56x |
| 36415 | Insertion of needle into vein for collection of blood sample | 17.6K | $63.7K | $3.61 | 3.87x |
| 83970 | Parathormone (parathyroid hormone) level | 1.4K | $62.0K | $43.94 | 2.57x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 3.9K | $55.7K | $14.36 | 3.55x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time per calendar month | 1.0K | $45.4K | $44.49 | 1.93x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 380 | $42.2K | $110.96 | 2.62x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 770 | $35.1K | $45.55 | 8.93x |
| 82565 | Blood creatinine level | 6.9K | $34.2K | $4.93 | 3.04x |
| J0897 | Injection, denosumab, 1 mg | 2.2K | $33.2K | $15.34 | 2.36x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. 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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