This provider averages 77 services per working day
Based on 193.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 77 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $154.84 | $65.66 | 2.36x | $89.18 | $616.6K | 18.0K | 10.4K |
| 2015 | $145.40 | $63.87 | 2.28x | $81.53 | $627.9K | 19.8K | 11.6K |
| 2016 | $130.61 | $52.36 | 2.49x | $78.25 | $692.3K | 23.0K | 12.5K |
| 2017 | $149.70 | $64.45 | 2.32x | $85.25 | $724.6K | 22.7K | 11.9K |
| 2018 | $163.68 | $60.42 | 2.71x | $103.26 | $700.6K | 23.3K | 12.2K |
| 2019 | $192.01 | $63.10 | 3.04x | $128.91 | $701.2K | 21.9K | 11.3K |
| 2020 | $137.81 | $47.65 | 2.89x | $90.16 | $556.2K | 18.6K | 10.1K |
| 2021 | $132.22 | $49.89 | 2.65x | $82.33 | $590.8K | 19.6K | 10.0K |
| 2022 | $175.90 | $71.84 | 2.45x | $104.06 | $600.7K | 15.4K | 6.7K |
| 2023 | $174.41 | $72.14 | 2.42x | $102.27 | $441.3K | 11.5K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 22.3K | $1.2M | $51.60 | 2.81x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 27.3K | $844.6K | $30.97 | 2.77x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.6K | $435.8K | $120.83 | 1.91x |
| 77002 | Fluoroscopic guidance for insertion of needle | 4.5K | $355.1K | $79.09 | 2.43x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 463 | $232.4K | $502.02 | 1.84x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 4.3K | $200.3K | $46.26 | 2.67x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.8K | $195.8K | $109.51 | 2.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.5K | $191.0K | $75.37 | 2.70x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 5.8K | $113.7K | $19.60 | 3.06x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 656 | $111.4K | $169.80 | 1.96x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 593 | $109.3K | $184.35 | 2.13x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 682 | $107.2K | $157.21 | 4.31x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 461 | $103.6K | $224.69 | 1.72x |
| 80053 | Blood test, comprehensive group of blood chemicals | 7.4K | $91.1K | $12.29 | 3.08x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 632 | $88.9K | $140.70 | 2.83x |
| 76700 | Ultrasound of abdomen | 944 | $79.6K | $84.33 | 3.03x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 8.3K | $79.3K | $9.61 | 2.65x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 5.1K | $72.7K | $14.26 | 3.02x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 407 | $71.9K | $176.63 | 2.56x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 136 | $67.8K | $498.29 | 1.89x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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