Statistical flag only — not an accusation of fraud
⚠️ This provider averages 892 services per working day — physically unusual for an individual practitioner
Based on 2.2M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.8M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Their average markup ratio of 6.11x is significantly above the specialty median of 2.9x.
Averaging 892 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 3019% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 83/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5944% in 2017
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 | $160.69 | $37.47 | 4.29x | $123.22 | $99.5K | 2.7K | 22 |
| 2015 | $168.12 | $48.50 | 3.47x | $119.62 | $93.3K | 1.9K | 21 |
| 2016 | $162.30 | $36.15 | 4.49x | $126.15 | $27.6K | 763 | 13 |
| 2017 | $46.96 | $5.49 | 8.55x | $41.47 | $1.7M | 303.4K | 57 |
| 2018 | $46.13 | $5.14 | 8.97x | $40.99 | $1.6M | 318.6K | 60 |
| 2019 | $46.06 | $4.87 | 9.46x | $41.19 | $1.6M | 323.0K | 57 |
| 2020 | $49.12 | $5.19 | 9.46x | $43.93 | $1.3M | 252.7K | 90 |
| 2021 | $52.34 | $13.09 | 4.00x | $39.25 | $5.8M | 443.1K | 112 |
| 2022 | $49.97 | $8.06 | 6.20x | $41.91 | $2.5M | 314.1K | 108 |
| 2023 | $48.29 | $11.52 | 4.19x | $36.77 | $3.1M | 269.2K | 87 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 1.2M | $4.3M | $3.69 | 7.41x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 218.1K | $1.8M | $8.30 | 8.24x |
| 80053 | Blood test, comprehensive group of blood chemicals | 141.3K | $1.6M | $11.11 | 9.97x |
| 0012A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose | 34.8K | $1.2M | $34.57 | 2.17x |
| 0002A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose | 26.1K | $855.9K | $32.83 | 2.28x |
| 0011A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose | 35.9K | $778.5K | $21.70 | 2.23x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 86.9K | $772.0K | $8.88 | 10.69x |
| 0001A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose | 31.5K | $771.7K | $24.52 | 2.15x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 4.2K | $591.7K | $140.29 | 1.78x |
| 0240U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid-19), influenza a, and influenza b) in upper respiratory specimen, each reported as detected or not detected | 4.1K | $556.1K | $135.97 | 1.99x |
| 85610 | Blood test, clotting time | 96.3K | $424.3K | $4.41 | 9.84x |
| 0064A | Adm sarscov2 50mcg/0.25mlbst | 8.4K | $316.0K | $37.42 | 2.06x |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 8.6K | $314.4K | $36.64 | 2.21x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 89.4K | $308.5K | $3.45 | 10.90x |
| 0004A | Adm sarscov2 30mcg/0.3ml bst | 7.4K | $279.1K | $37.77 | 2.00x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 26.9K | $182.0K | $6.77 | 9.27x |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 4.6K | $169.6K | $36.70 | 2.21x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 4.4K | $169.2K | $38.16 | 5.35x |
| 90480 | Admn sarscov2 vacc 1 dose | 4.2K | $159.9K | $37.90 | 2.24x |
| 0003A | Adm sarscov2 30mcg/0.3ml 3rd | 4.1K | $157.1K | $37.94 | 1.98x |
This provider submits charges 6.11 times higher than what Medicare actually pays.
A markup ratio of 6.11x means for every $100 Medicare pays, this provider initially charges $611. 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