This provider averages 73 services per working day
Based on 183.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 73 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 | $83.40 | $55.50 | 1.50x | $27.90 | $757.0K | 17.4K | 6.4K |
| 2015 | $82.73 | $55.76 | 1.48x | $26.97 | $742.2K | 17.5K | 6.5K |
| 2016 | $76.41 | $51.33 | 1.49x | $25.08 | $761.6K | 17.8K | 6.9K |
| 2017 | $76.91 | $50.43 | 1.53x | $26.48 | $874.7K | 20.5K | 7.5K |
| 2018 | $76.64 | $52.02 | 1.47x | $24.62 | $750.3K | 18.5K | 7.9K |
| 2019 | $86.51 | $59.68 | 1.45x | $26.83 | $827.4K | 19.1K | 8.2K |
| 2020 | $99.05 | $70.23 | 1.41x | $28.82 | $885.0K | 19.9K | 8.4K |
| 2021 | $98.84 | $71.03 | 1.39x | $27.81 | $1.1M | 21.5K | 10.2K |
| 2022 | $106.38 | $71.74 | 1.48x | $34.64 | $929.9K | 18.6K | 9.3K |
| 2023 | $90.65 | $56.04 | 1.62x | $34.61 | $567.8K | 12.1K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 63.6K | $3.5M | $55.14 | 1.62x |
| 17000 | Destruction of skin growth | 33.1K | $1.5M | $46.15 | 2.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.9K | $958.0K | $80.81 | 1.60x |
| 17110 | Destruction of up to 14 skin growths | 4.0K | $341.0K | $84.45 | 1.58x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 857 | $216.6K | $252.78 | 1.37x |
| 90662 | Vaccine for influenza for injection into muscle | 3.9K | $187.9K | $48.12 | 1.08x |
| 17003 | Destruction of 2-14 skin growths | 31.0K | $158.4K | $5.11 | 2.35x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.2K | $152.9K | $68.86 | 1.92x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.0K | $129.4K | $126.22 | 1.12x |
| 11102 | Tangential biopsy of single skin lesion | 1.7K | $122.0K | $71.90 | 1.60x |
| G0008 | Administration of influenza virus vaccine | 4.5K | $105.4K | $23.46 | 1.30x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.9K | $104.9K | $15.21 | 2.01x |
| 90670 | Pneumococcal vaccine for injection into muscle | 540 | $104.5K | $193.43 | 1.10x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.2K | $96.9K | $78.96 | 1.56x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 738 | $79.8K | $108.11 | 1.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 481 | $52.5K | $109.22 | 1.64x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 270 | $46.1K | $170.75 | 1.17x |
| 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 | 1.0K | $43.1K | $41.39 | 1.67x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 779 | $27.7K | $35.53 | 1.94x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 111 | $23.3K | $209.70 | 1.31x |
This provider submits charges 1.69 times higher than what Medicare actually pays.
A markup ratio of 1.69x means for every $100 Medicare pays, this provider initially charges $169. This is lower 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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