This provider averages 74 services per working day
Based on 186.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.8M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 74 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 | $70.05 | $41.35 | 1.69x | $28.70 | $840.1K | 22.1K | 4.9K |
| 2015 | $64.85 | $38.71 | 1.68x | $26.14 | $736.8K | 19.8K | 4.5K |
| 2016 | $70.08 | $43.04 | 1.63x | $27.04 | $640.6K | 18.2K | 3.8K |
| 2017 | $71.66 | $43.98 | 1.63x | $27.68 | $579.0K | 16.7K | 3.7K |
| 2018 | $75.19 | $48.85 | 1.54x | $26.34 | $558.7K | 15.8K | 3.5K |
| 2019 | $84.13 | $52.82 | 1.59x | $31.31 | $522.3K | 15.5K | 3.5K |
| 2020 | $71.61 | $44.14 | 1.62x | $27.47 | $593.1K | 15.3K | 2.9K |
| 2021 | $54.58 | $34.93 | 1.56x | $19.65 | $722.8K | 22.3K | 3.9K |
| 2022 | $59.82 | $38.05 | 1.57x | $21.77 | $750.9K | 21.4K | 3.2K |
| 2023 | $58.08 | $37.70 | 1.54x | $20.38 | $830.8K | 18.9K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 42.1K | $2.7M | $63.32 | 1.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.7K | $1.5M | $96.39 | 1.47x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.6K | $427.8K | $76.04 | 1.46x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.2K | $325.6K | $149.38 | 1.41x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.8K | $252.3K | $136.76 | 1.48x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.9K | $244.4K | $41.67 | 1.75x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 8.7K | $173.3K | $19.89 | 1.51x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 8.5K | $135.1K | $15.82 | 2.53x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 1.7K | $132.3K | $78.95 | 1.58x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.4K | $132.2K | $96.64 | 2.07x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 9.9K | $96.3K | $9.75 | 2.05x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 648 | $87.8K | $135.47 | 1.08x |
| 84436 | Thyroxine (thyroid chemical) measurement | 6.7K | $57.2K | $8.52 | 1.76x |
| 84479 | Thyroid hormone evaluation | 6.7K | $53.9K | $8.02 | 1.87x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 8.5K | $52.3K | $6.15 | 1.66x |
| G0008 | Administration of influenza virus vaccine | 1.8K | $48.0K | $26.78 | 1.36x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 252 | $47.5K | $188.44 | 1.14x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.3K | $41.6K | $18.18 | 2.20x |
| 81002 | Urinalysis, manual test | 11.5K | $39.5K | $3.42 | 2.92x |
| 36415 | Insertion of needle into vein for collection of blood sample | 12.9K | $39.5K | $3.05 | 1.64x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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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