This provider averages 56 services per working day
Based on 140.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.3M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Averaging 56 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 | $101.52 | $61.75 | 1.64x | $39.77 | $616.3K | 10.6K | 7.4K |
| 2015 | $106.06 | $64.20 | 1.65x | $41.86 | $592.9K | 9.5K | 7.5K |
| 2016 | $128.40 | $63.97 | 2.01x | $64.43 | $862.9K | 14.3K | 10.6K |
| 2017 | $171.08 | $71.46 | 2.39x | $99.62 | $1.1M | 17.0K | 12.7K |
| 2018 | $170.14 | $86.61 | 1.96x | $83.53 | $908.0K | 13.9K | 9.9K |
| 2019 | $169.26 | $84.84 | 2.00x | $84.42 | $958.2K | 12.6K | 9.2K |
| 2020 | $162.50 | $80.57 | 2.02x | $81.93 | $907.1K | 13.2K | 10.1K |
| 2021 | $161.13 | $83.01 | 1.94x | $78.12 | $1.3M | 17.3K | 12.7K |
| 2022 | $167.05 | $85.56 | 1.95x | $81.49 | $1.3M | 18.4K | 13.4K |
| 2023 | $150.80 | $68.45 | 2.20x | $82.35 | $807.3K | 13.3K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.9K | $1.9M | $78.50 | 2.17x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 25.8K | $1.4M | $54.56 | 2.12x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 10.2K | $1.2M | $119.11 | 1.50x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 10.3K | $838.1K | $81.46 | 1.75x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.7K | $515.0K | $109.97 | 2.14x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.7K | $317.3K | $190.71 | 1.89x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.7K | $284.7K | $167.84 | 1.46x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.8K | $243.1K | $132.61 | 2.30x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.4K | $205.5K | $151.09 | 2.20x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.1K | $180.9K | $35.22 | 2.19x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 9.5K | $170.6K | $17.90 | 1.85x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 50 minutes | 709 | $142.8K | $201.40 | 1.98x |
| G0444 | Annual depression screening, 15 minutes | 7.9K | $141.1K | $17.87 | 1.90x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 1.0K | $127.5K | $122.10 | 2.21x |
| 76536 | Ultrasound of head and neck | 1.3K | $111.1K | $83.00 | 2.23x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 156 | $92.7K | $594.04 | 1.70x |
| 76770 | Ultrasound behind abdominal cavity | 1.1K | $88.9K | $82.66 | 2.27x |
| 95800 | Study of sleep patterns | 669 | $87.8K | $131.24 | 2.13x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.7K | $82.3K | $30.46 | 2.43x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 478 | $78.2K | $163.58 | 1.50x |
This provider submits charges 1.97 times higher than what Medicare actually pays.
A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. 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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