This provider averages 111 services per working day
Based on 278.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 111 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 59106% from 2014 to 2023.
94% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1493% in 2023
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 | $220.32 | $85.57 | 2.57x | $134.75 | $5.1K | 60 | 2 |
| 2015 | $150.00 | $67.66 | 2.22x | $82.34 | $2.2K | 32 | 1 |
| 2016 | $140.23 | $42.96 | 3.26x | $97.27 | $29.6K | 688 | 4 |
| 2017 | $139.39 | $43.52 | 3.20x | $95.87 | $43.4K | 998 | 5 |
| 2018 | $137.25 | $46.87 | 2.93x | $90.38 | $30.7K | 654 | 5 |
| 2019 | $142.08 | $53.57 | 2.65x | $88.51 | $37.0K | 690 | 5 |
| 2020 | $131.59 | $47.88 | 2.75x | $83.71 | $22.3K | 466 | 5 |
| 2021 | $133.29 | $55.46 | 2.40x | $77.83 | $24.7K | 445 | 4 |
| 2022 | $13.46 | $12.13 | 1.11x | $1.33 | $190.8K | 15.7K | 3 |
| 2023 | $12.06 | $11.76 | 1.03x | $0.30 | $3.0M | 258.5K | 1 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 274.1K | $3.2M | $11.76 | 1.03x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.4K | $69.0K | $47.77 | 1.76x |
| 20610 | Aspiration and/or injection of fluid from large joint | 1.0K | $49.7K | $48.44 | 4.57x |
| 20553 | Injections of trigger points in 3 or more muscles | 829 | $32.8K | $39.62 | 3.80x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 463 | $30.7K | $66.32 | 1.91x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 292 | $8.0K | $27.27 | 2.38x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 79 | $7.3K | $92.28 | 2.00x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 46 | $3.8K | $81.94 | 2.44x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 14 | $1.4K | $97.51 | 2.93x |
This provider submits charges 1.14 times higher than what Medicare actually pays.
A markup ratio of 1.14x means for every $100 Medicare pays, this provider initially charges $114. This is lower 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data