This provider averages 154 services per working day
Based on 385.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.8M in total Medicare payments ranks in the 99th percentile of Allergy/ Immunology providers nationally.
Averaging 154 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 883% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 534% 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 | $31.09 | $14.00 | 2.22x | $17.09 | $425.8K | 30.4K | 16 |
| 2015 | $37.99 | $16.87 | 2.25x | $21.12 | $520.8K | 30.9K | 15 |
| 2016 | $33.19 | $15.97 | 2.08x | $17.22 | $541.8K | 33.9K | 13 |
| 2017 | $30.82 | $14.57 | 2.12x | $16.25 | $414.6K | 28.5K | 16 |
| 2018 | $27.81 | $12.68 | 2.19x | $15.13 | $381.9K | 30.1K | 14 |
| 2019 | $27.46 | $13.21 | 2.08x | $14.25 | $450.6K | 34.1K | 17 |
| 2020 | $32.40 | $16.08 | 2.01x | $16.32 | $357.1K | 22.2K | 20 |
| 2021 | $33.35 | $16.99 | 1.96x | $16.36 | $348.4K | 20.5K | 15 |
| 2022 | $132.83 | $38.41 | 3.46x | $94.42 | $2.2M | 57.5K | 21 |
| 2023 | $151.52 | $43.02 | 3.52x | $108.50 | $4.2M | 97.3K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1556 | Injection, immune globulin (bivigam), 500 mg | 94.9K | $5.3M | $56.01 | 3.57x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 7.6K | $922.6K | $121.29 | 1.90x |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 64.5K | $729.1K | $11.30 | 1.92x |
| J2357 | Injection, omalizumab, 5 mg | 20.3K | $563.5K | $27.76 | 3.34x |
| 95004 | Test for allergy using allergenic extract | 101.7K | $456.7K | $4.49 | 2.29x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12.0K | $402.0K | $33.45 | 2.00x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.4K | $360.5K | $81.05 | 2.01x |
| 95117 | Professional service for multiple injections of allergen | 27.1K | $215.1K | $7.95 | 4.31x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 985 | $156.5K | $158.90 | 2.05x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.3K | $145.6K | $62.43 | 1.99x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 802 | $99.0K | $123.48 | 2.03x |
| 95044 | Test for allergy using skin patch | 19.0K | $86.0K | $4.52 | 2.07x |
| 95024 | Test for allergy using allergenic extract injected into skin | 12.0K | $80.6K | $6.71 | 1.97x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1.2K | $65.6K | $53.05 | 4.24x |
| 99354 | Prolonged office or other outpatient service first hour | 442 | $47.4K | $107.29 | 1.40x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 451 | $37.6K | $83.34 | 2.16x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 1.6K | $26.5K | $16.83 | 6.54x |
| 95115 | Professional service for single injection of allergen | 3.0K | $20.1K | $6.62 | 3.39x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 1.0K | $17.4K | $16.65 | 2.47x |
| 95180 | Rapid desensitization procedure, each hour | 146 | $15.8K | $108.18 | 2.37x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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