This provider averages 56 services per working day
Based on 139.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1970% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 26848% in 2021
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 | $120.27 | $55.24 | 2.18x | $65.03 | $16.6K | 296 | 227 |
| 2015 | $133.15 | $74.44 | 1.79x | $58.71 | $28.0K | 376 | 325 |
| 2016 | $148.44 | $81.58 | 1.82x | $66.86 | $22.4K | 324 | 272 |
| 2017 | $113.44 | $56.55 | 2.01x | $56.89 | $27.2K | 445 | 395 |
| 2018 | $151.06 | $62.32 | 2.42x | $88.74 | $12.6K | 219 | 171 |
| 2019 | $172.20 | $79.56 | 2.16x | $92.64 | $15.8K | 205 | 158 |
| 2020 | $164.29 | $69.58 | 2.36x | $94.71 | $13.3K | 204 | 164 |
| 2021 | $92.03 | $49.49 | 1.86x | $42.54 | $3.6M | 113.3K | 113.2K |
| 2022 | $97.12 | $56.78 | 1.71x | $40.34 | $957.0K | 19.0K | 18.9K |
| 2023 | $126.06 | $67.78 | 1.86x | $58.28 | $344.3K | 5.0K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 35.4K | $1.3M | $36.60 | 1.78x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 37.6K | $868.3K | $23.11 | 2.81x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 15.9K | $607.5K | $38.23 | 1.70x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 18.0K | $487.8K | $27.13 | 2.40x |
| 0064A | Fee covid-19 vac 7 res | 9.1K | $458.8K | $50.17 | 1.30x |
| 0134A | Fee covid-19 vac 14 res | 5.6K | $273.2K | $49.08 | 1.32x |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 3.0K | $210.5K | $70.96 | 1.19x |
| 0124A | Fee covid-19 vac 13 res | 2.9K | $140.8K | $48.74 | 1.33x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 966 | $138.0K | $142.87 | 1.53x |
| G0008 | Administration of influenza virus vaccine | 3.9K | $130.5K | $33.80 | 1.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.0K | $60.1K | $57.25 | 3.89x |
| 0004A | Fee covid-19 vac 1 res | 1.1K | $56.8K | $49.92 | 1.30x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 610 | $49.7K | $81.47 | 4.00x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 325 | $46.3K | $142.41 | 1.01x |
| 90480 | Admn sarscov2 vacc 1 dose | 966 | $44.1K | $45.65 | 1.42x |
| 90662 | Vaccine for influenza for injection into muscle | 679 | $40.4K | $59.55 | 1.06x |
| 0013A | Fee covid-19 vac 2 booster | 650 | $33.3K | $51.27 | 1.27x |
| 0003A | Fee covid-19 vac 1 booster | 380 | $19.2K | $50.59 | 1.28x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 376 | $18.2K | $48.37 | 1.34x |
| 90670 | Pneumococcal vaccine for injection into muscle | 94 | $14.8K | $157.90 | 1.24x |
This provider submits charges 1.91 times higher than what Medicare actually pays.
A markup ratio of 1.91x means for every $100 Medicare pays, this provider initially charges $191. This is lower 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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