This provider averages 61 services per working day
Based on 151.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 61 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 205% from 2014 to 2023.
71% of their billing comes from a single procedure code (99308 — Subsequent nursing facility visit, typically 15 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2017
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 | $175.03 | $99.98 | 1.75x | $75.05 | $594.2K | 8.0K | 2.1K |
| 2015 | $181.40 | $104.53 | 1.74x | $76.87 | $495.3K | 6.6K | 1.7K |
| 2016 | $206.75 | $100.78 | 2.05x | $105.97 | $452.4K | 5.9K | 1.6K |
| 2017 | $195.00 | $90.52 | 2.15x | $104.48 | $691.5K | 10.0K | 2.0K |
| 2018 | $170.95 | $90.54 | 1.89x | $80.41 | $998.7K | 14.5K | 2.4K |
| 2019 | $179.64 | $96.42 | 1.86x | $83.22 | $1.3M | 18.8K | 2.1K |
| 2020 | $158.18 | $85.01 | 1.86x | $73.17 | $1.3M | 19.3K | 2.1K |
| 2021 | $161.78 | $83.45 | 1.94x | $78.33 | $1.4M | 19.8K | 2.1K |
| 2022 | $167.60 | $85.30 | 1.96x | $82.30 | $1.6M | 23.1K | 2.3K |
| 2023 | $155.44 | $84.59 | 1.84x | $70.85 | $1.8M | 25.4K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 120.2K | $7.6M | $63.27 | 2.37x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 6.3K | $764.2K | $120.65 | 1.65x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 9.6K | $735.3K | $76.72 | 2.28x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 3.2K | $381.8K | $117.61 | 1.49x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.2K | $288.2K | $91.29 | 2.01x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.7K | $253.1K | $146.64 | 2.13x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 767 | $135.6K | $176.76 | 1.42x |
| 99349 | Established patient home visit, typically 40 minutes | 1.2K | $134.7K | $113.30 | 2.21x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 847 | $81.7K | $96.40 | 1.82x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.1K | $67.0K | $63.64 | 2.36x |
| 99328 | New patient assisted living visit, typically 75 minutes | 321 | $61.6K | $192.05 | 1.56x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 790 | $53.7K | $67.96 | 1.84x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | 722 | $34.5K | $47.80 | 2.51x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 289 | $26.8K | $92.71 | 1.89x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 115 | $18.9K | $164.00 | 1.45x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 62 | $8.4K | $134.84 | 1.48x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 40 | $5.7K | $143.00 | 1.40x |
| G0008 | Administration of influenza virus vaccine | 237 | $5.6K | $23.73 | 1.26x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 62 | $5.1K | $81.47 | 1.84x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 101 | $3.8K | $37.78 | 3.31x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. 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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