This provider averages 87 services per working day
Based on 217.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 87 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 | $69.71 | $33.69 | 2.07x | $36.02 | $629.4K | 27.5K | 17.4K |
| 2015 | $95.31 | $38.74 | 2.46x | $56.57 | $544.8K | 21.8K | 15.4K |
| 2016 | $103.65 | $39.65 | 2.61x | $64.00 | $450.6K | 18.9K | 13.4K |
| 2017 | $114.38 | $42.92 | 2.66x | $71.46 | $470.7K | 19.0K | 13.5K |
| 2018 | $116.78 | $42.14 | 2.77x | $74.64 | $551.5K | 21.3K | 15.1K |
| 2019 | $120.98 | $41.26 | 2.93x | $79.72 | $548.6K | 20.5K | 14.8K |
| 2020 | $117.16 | $39.55 | 2.96x | $77.61 | $506.3K | 20.2K | 15.3K |
| 2021 | $109.16 | $37.01 | 2.95x | $72.15 | $546.0K | 22.9K | 16.0K |
| 2022 | $100.82 | $33.97 | 2.97x | $66.85 | $457.3K | 21.7K | 14.3K |
| 2023 | $95.23 | $31.54 | 3.02x | $63.69 | $491.5K | 23.8K | 15.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $911.9K | $73.30 | 3.58x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.4K | $440.0K | $129.90 | 2.26x |
| 93922 | Ultrasound study of arteries of both arms and legs | 5.0K | $326.4K | $64.95 | 3.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $277.4K | $51.58 | 3.31x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.0K | $224.2K | $109.65 | 3.13x |
| 82306 | Vitamin D-3 level | 4.7K | $161.3K | $34.35 | 2.70x |
| 80053 | Blood test, comprehensive group of blood chemicals | 11.3K | $122.1K | $10.80 | 5.19x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 9.4K | $116.2K | $12.34 | 4.04x |
| 82728 | Ferritin (blood protein) level | 7.2K | $111.6K | $15.51 | 3.55x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 5.6K | $109.4K | $19.43 | 4.37x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 586 | $106.1K | $181.00 | 1.81x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 10.6K | $95.3K | $9.03 | 5.48x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.9K | $94.3K | $32.74 | 1.53x |
| 84481 | Thyroid hormone, T3 measurement | 5.6K | $93.7K | $16.79 | 2.64x |
| 82627 | Dehydroepiandrosterone (DHEA-S) hormone level | 3.4K | $89.6K | $26.30 | 1.79x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.0K | $85.7K | $82.10 | 3.58x |
| 83525 | Insulin measurement | 6.0K | $78.4K | $13.15 | 2.66x |
| 82670 | Estradiol (hormone) level | 2.3K | $74.3K | $32.40 | 1.76x |
| 83036 | Hemoglobin A1C level | 6.6K | $72.4K | $10.99 | 3.64x |
| 84403 | Testosterone (hormone) level | 2.3K | $69.3K | $29.89 | 1.84x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. 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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