This provider averages 52 services per working day
Based on 129.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Geriatric Medicine providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 79% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 84% in 2019
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 | $176.82 | $81.01 | 2.18x | $95.81 | $721.4K | 13.2K | 2.3K |
| 2015 | $179.57 | $81.80 | 2.20x | $97.77 | $901.9K | 15.2K | 1.9K |
| 2016 | $169.73 | $75.33 | 2.25x | $94.40 | $563.1K | 9.6K | 1.5K |
| 2017 | $176.03 | $77.40 | 2.27x | $98.63 | $427.1K | 6.5K | 1.1K |
| 2018 | $176.00 | $75.41 | 2.33x | $100.59 | $533.1K | 8.7K | 2.0K |
| 2019 | $179.88 | $84.19 | 2.14x | $95.69 | $979.1K | 15.0K | 2.9K |
| 2020 | $169.95 | $77.03 | 2.21x | $92.92 | $942.1K | 16.0K | 2.5K |
| 2021 | $178.55 | $80.04 | 2.23x | $98.51 | $699.4K | 11.3K | 1.7K |
| 2022 | $189.45 | $82.28 | 2.30x | $107.17 | $941.5K | 15.4K | 2.3K |
| 2023 | $179.95 | $81.53 | 2.21x | $98.42 | $1.3M | 18.3K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 47.0K | $3.3M | $69.92 | 2.20x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 57.9K | $3.0M | $51.38 | 2.17x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 4.3K | $432.8K | $100.73 | 2.15x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.3K | $407.3K | $76.84 | 2.24x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.9K | $241.2K | $126.21 | 2.10x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 7.4K | $237.5K | $32.19 | 2.44x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.3K | $123.3K | $97.26 | 2.10x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 1.0K | $64.1K | $63.19 | 2.39x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 592 | $62.8K | $106.03 | 2.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $57.8K | $49.67 | 2.05x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 298 | $35.0K | $117.46 | 1.72x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 235 | $32.8K | $139.55 | 2.52x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 305 | $27.5K | $90.01 | 2.40x |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | 392 | $14.4K | $36.76 | 2.40x |
| 93000 | Routine ekg using at least 12 leads including interpretation and report | 132 | $1.3K | $9.88 | 10.13x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 11 | $760.96 | $69.18 | 2.10x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 15 | $432.88 | $28.86 | 2.60x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. This is higher than the national average.
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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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