This provider averages 118 services per working day
Based on 295.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Endocrinology providers nationally.
Averaging 118 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% in 2016
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 | $61.64 | $32.63 | 1.89x | $29.01 | $532.7K | 20.3K | 14.3K |
| 2015 | $62.27 | $29.18 | 2.13x | $33.09 | $504.7K | 17.6K | 12.9K |
| 2016 | $64.91 | $28.60 | 2.27x | $36.31 | $839.6K | 27.5K | 18.5K |
| 2017 | $68.78 | $29.82 | 2.31x | $38.96 | $882.9K | 33.2K | 21.4K |
| 2018 | $64.49 | $26.23 | 2.46x | $38.26 | $941.2K | 35.1K | 22.3K |
| 2019 | $71.23 | $27.66 | 2.58x | $43.57 | $941.8K | 33.0K | 21.1K |
| 2020 | $73.87 | $27.66 | 2.67x | $46.21 | $806.2K | 32.3K | 19.9K |
| 2021 | $72.43 | $28.06 | 2.58x | $44.37 | $1.1M | 46.3K | 32.0K |
| 2022 | $74.32 | $27.36 | 2.72x | $46.96 | $1.0M | 45.1K | 33.3K |
| 2023 | $137.07 | $37.07 | 3.70x | $100.00 | $242.7K | 5.1K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 20.4K | $2.4M | $116.25 | 2.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.0K | $1.0M | $83.68 | 2.15x |
| 83970 | Parathormone (parathyroid hormone) level | 11.4K | $545.8K | $47.89 | 1.57x |
| 82306 | Vitamin D-3 level | 10.7K | $401.0K | $37.32 | 2.14x |
| 77085 | Bone density measurement using dedicated X-ray machine | 7.2K | $362.7K | $50.64 | 6.15x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 14.3K | $278.7K | $19.43 | 2.06x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.4K | $216.2K | $158.03 | 1.99x |
| 80053 | Blood test, comprehensive group of blood chemicals | 17.1K | $196.9K | $11.50 | 5.17x |
| 84481 | Thyroid hormone, T3 measurement | 9.7K | $189.5K | $19.56 | 3.50x |
| 83036 | Hemoglobin A1C level | 14.2K | $159.3K | $11.19 | 3.56x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 11.5K | $142.8K | $12.44 | 3.21x |
| 84439 | Thyroxine (thyroid chemical) measurement | 11.9K | $124.2K | $10.43 | 2.60x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.1K | $119.9K | $57.07 | 2.12x |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | 4.2K | $119.0K | $28.39 | 3.06x |
| 82523 | Collagen cross links test, (urine test to evaluate bone health) | 5.2K | $118.4K | $22.56 | 3.10x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $109.9K | $60.29 | 2.05x |
| 95250 | Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours | 808 | $103.2K | $127.75 | 2.27x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 5.3K | $92.5K | $17.35 | 1.97x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.0K | $85.4K | $14.15 | 3.66x |
| 84080 | Phosphatase (enzyme) measurement | 4.0K | $74.2K | $18.70 | 1.34x |
This provider submits charges 2.56 times higher than what Medicare actually pays.
A markup ratio of 2.56x means for every $100 Medicare pays, this provider initially charges $256. 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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