This provider averages 63 services per working day
Based on 157.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 63 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 231% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 199% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $91.67 | $56.08 | 1.63x | $35.59 | $418.4K | 7.9K | 1.9K |
| 2015 | $95.62 | $60.24 | 1.59x | $35.38 | $586.5K | 10.9K | 2.7K |
| 2016 | $93.47 | $59.53 | 1.57x | $33.94 | $865.9K | 15.3K | 3.9K |
| 2017 | $95.91 | $58.23 | 1.65x | $37.68 | $1.1M | 18.3K | 4.8K |
| 2018 | $85.72 | $49.08 | 1.75x | $36.64 | $1.5M | 27.1K | 6.9K |
| 2019 | $89.85 | $54.16 | 1.66x | $35.69 | $1.3M | 24.3K | 5.1K |
| 2020 | $102.82 | $62.41 | 1.65x | $40.41 | $334.7K | 5.9K | 2.2K |
| 2021 | $100.23 | $67.44 | 1.49x | $32.79 | $248.2K | 4.3K | 1.6K |
| 2022 | $113.34 | $60.29 | 1.88x | $53.05 | $741.0K | 14.9K | 4.6K |
| 2023 | $123.93 | $63.40 | 1.95x | $60.53 | $1.4M | 28.3K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 59.0K | $3.3M | $55.60 | 1.56x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 18.1K | $1.3M | $69.15 | 1.74x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 34.7K | $1.2M | $34.95 | 1.54x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 5.2K | $693.4K | $134.07 | 1.50x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 6.0K | $318.8K | $52.70 | 2.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.7K | $294.6K | $79.57 | 2.01x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 6.0K | $244.6K | $40.43 | 4.53x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 5.7K | $233.1K | $40.84 | 2.52x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.1K | $226.7K | $107.72 | 1.49x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 5.3K | $176.6K | $33.47 | 2.47x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.7K | $150.0K | $85.98 | 1.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $133.4K | $49.40 | 2.03x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.8K | $124.2K | $44.35 | 1.88x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 887 | $53.2K | $60.00 | 1.50x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 283 | $33.9K | $119.84 | 1.22x |
| 99318 | Nursing facility annual assessment, typically 30 minutes | 227 | $16.8K | $74.15 | 1.53x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 82 | $8.8K | $107.33 | 1.57x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 96 | $6.8K | $71.07 | 1.60x |
| 80305 | Testing for presence of drug | 496 | $6.4K | $12.84 | 1.56x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 151 | $5.0K | $32.85 | 1.83x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. 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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