This provider averages 80 services per working day
Based on 180.0K total services over 9 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Preventive Medicine providers nationally.
Averaging 80 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 | $297.09 | $104.33 | 2.85x | $192.76 | $2.0M | 25.1K | 6.5K |
| 2015 | $287.78 | $77.37 | 3.72x | $210.41 | $1.9M | 22.2K | 5.7K |
| 2016 | $242.42 | $65.74 | 3.69x | $176.68 | $1.9M | 21.5K | 5.2K |
| 2017 | $151.85 | $51.86 | 2.93x | $99.99 | $1.8M | 33.5K | 7.4K |
| 2018 | $194.97 | $61.57 | 3.17x | $133.40 | $1.1M | 25.5K | 6.6K |
| 2019 | $183.13 | $55.80 | 3.28x | $127.33 | $1.2M | 30.8K | 6.3K |
| 2020 | $195.70 | $50.50 | 3.88x | $145.20 | $458.2K | 10.9K | 3.0K |
| 2021 | $104.64 | $41.21 | 2.54x | $63.43 | $302.9K | 7.9K | 1.8K |
| 2023 | $83.96 | $31.23 | 2.69x | $52.73 | $99.5K | 2.6K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27370 | Injection procedure for X-ray imaging of knee | 25.1K | $3.6M | $144.34 | 3.87x |
| 77002 | Fluoroscopic guidance for insertion of needle | 34.1K | $2.3M | $68.33 | 2.76x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 15.7K | $1.1M | $67.81 | 4.07x |
| 27369 | Injection of contrast for imaging of knee joint | 7.8K | $802.6K | $102.84 | 3.72x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 4.9K | $626.0K | $127.92 | 2.72x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 6.3K | $527.3K | $83.16 | 3.18x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 3.1K | $357.8K | $117.27 | 3.22x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 7.0K | $351.4K | $49.92 | 3.76x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.3K | $215.8K | $29.76 | 3.08x |
| 20926 | Tissue graft | 600 | $189.6K | $316.03 | 3.01x |
| P9020 | Platelet rich plasma, each unit | 599 | $179.8K | $300.09 | 2.78x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 15.2K | $138.7K | $9.10 | 2.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $129.1K | $46.60 | 3.31x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $95.6K | $65.84 | 3.19x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.3K | $61.2K | $46.76 | 3.37x |
| J3490 | Unclassified drugs | 29 | $13.4K | $462.99 | 2.26x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 597 | $12.2K | $20.47 | 3.62x |
| 97161 | Evaluation of physical therapy, typically 20 minutes | 191 | $11.6K | $60.65 | 3.20x |
| 76970 | Ultrasound follow-up study | 150 | $9.6K | $63.78 | 2.35x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 207 | $7.4K | $35.99 | 11.89x |
This provider submits charges 3.43 times higher than what Medicare actually pays.
A markup ratio of 3.43x means for every $100 Medicare pays, this provider initially charges $343. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data