This provider averages 119 services per working day
Based on 297.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 119 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 | $40.36 | $21.40 | 1.89x | $18.96 | $361.7K | 26.6K | 15.9K |
| 2015 | $43.33 | $23.22 | 1.87x | $20.11 | $415.3K | 28.2K | 16.9K |
| 2016 | $54.36 | $29.50 | 1.84x | $24.86 | $407.4K | 28.7K | 17.4K |
| 2017 | $55.80 | $26.78 | 2.08x | $29.02 | $416.4K | 27.9K | 16.5K |
| 2018 | $47.33 | $23.84 | 1.99x | $23.49 | $458.5K | 31.3K | 17.1K |
| 2019 | $45.89 | $22.49 | 2.04x | $23.40 | $496.9K | 35.2K | 19.1K |
| 2020 | $44.37 | $22.19 | 2.00x | $22.18 | $343.9K | 28.3K | 16.7K |
| 2021 | $30.49 | $12.60 | 2.42x | $17.89 | $351.1K | 31.8K | 18.3K |
| 2022 | $39.65 | $17.10 | 2.32x | $22.55 | $344.4K | 30.2K | 16.7K |
| 2023 | $32.49 | $14.76 | 2.20x | $17.73 | $337.1K | 28.9K | 16.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.0K | $408.7K | $68.41 | 2.42x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 24.4K | $322.8K | $13.25 | 2.79x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 16.9K | $320.6K | $18.99 | 2.42x |
| 82306 | Vitamin D-3 level | 9.6K | $305.2K | $31.83 | 2.07x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 32.0K | $283.5K | $8.87 | 2.55x |
| 80053 | Blood test, comprehensive group of blood chemicals | 21.2K | $236.5K | $11.15 | 2.60x |
| 83036 | Hemoglobin A1C level | 19.0K | $208.5K | $10.97 | 2.46x |
| 83721 | LDL cholesterol level | 13.7K | $160.2K | $11.71 | 2.73x |
| 80048 | Blood test, basic group of blood chemicals | 16.1K | $131.5K | $8.16 | 2.82x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 7.7K | $124.6K | $16.27 | 2.58x |
| 83735 | Magnesium level | 13.4K | $100.8K | $7.53 | 2.52x |
| 82746 | Folic acid level | 6.1K | $97.0K | $15.83 | 2.59x |
| 80076 | Liver function blood test panel | 12.1K | $95.0K | $7.82 | 2.94x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 787 | $86.2K | $109.49 | 1.34x |
| 83970 | Parathormone (parathyroid hormone) level | 1.8K | $74.9K | $41.28 | 1.99x |
| 84439 | Thyroxine (thyroid chemical) measurement | 7.4K | $74.3K | $10.09 | 3.62x |
| 81000 | Manual urinalysis test with examination using microscope | 16.0K | $64.8K | $4.05 | 2.22x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $58.9K | $43.55 | 2.57x |
| 90662 | Vaccine for influenza for injection into muscle | 1.2K | $57.6K | $47.97 | 1.26x |
| 83718 | HDL cholesterol level | 5.2K | $53.7K | $10.34 | 2.22x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. 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.
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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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