This provider averages 64 services per working day
Based on 160.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.1M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 64 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 | $99.97 | $48.87 | 2.05x | $51.10 | $514.6K | 13.1K | 2.8K |
| 2015 | $103.38 | $52.64 | 1.96x | $50.74 | $651.1K | 15.8K | 3.3K |
| 2016 | $108.11 | $52.54 | 2.06x | $55.57 | $758.6K | 18.2K | 3.7K |
| 2017 | $112.56 | $56.00 | 2.01x | $56.56 | $783.0K | 17.7K | 3.8K |
| 2018 | $118.95 | $62.18 | 1.91x | $56.77 | $792.0K | 17.3K | 3.4K |
| 2019 | $107.02 | $54.38 | 1.97x | $52.64 | $764.8K | 17.9K | 3.4K |
| 2020 | $129.04 | $68.33 | 1.89x | $60.71 | $686.5K | 15.4K | 3.2K |
| 2021 | $128.84 | $70.92 | 1.82x | $57.92 | $818.7K | 16.6K | 2.8K |
| 2022 | $121.05 | $65.63 | 1.84x | $55.42 | $670.2K | 14.4K | 2.2K |
| 2023 | $117.85 | $60.62 | 1.94x | $57.23 | $701.5K | 14.3K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.7K | $1.4M | $86.14 | 1.95x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 22.5K | $1.2M | $53.42 | 2.02x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.7K | $650.6K | $61.07 | 1.96x |
| 97597 | Removal of tissue from wounds per session | 6.0K | $420.7K | $70.12 | 1.86x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.0K | $407.9K | $81.45 | 1.87x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 4.2K | $298.9K | $70.42 | 1.65x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.3K | $267.1K | $116.27 | 1.96x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $259.6K | $158.28 | 1.60x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 10.5K | $245.7K | $23.49 | 1.93x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.1K | $235.7K | $57.01 | 1.75x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $165.2K | $122.63 | 1.96x |
| Q4186 | Epifix, per square centimeter | 1.1K | $129.2K | $123.08 | 1.93x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 1.3K | $116.5K | $88.95 | 2.30x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 718 | $114.0K | $158.73 | 1.84x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 3.6K | $105.9K | $29.20 | 1.94x |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 1.3K | $102.9K | $78.69 | 1.88x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 673 | $92.0K | $136.74 | 1.91x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 483 | $90.8K | $188.07 | 1.78x |
| 29580 | Strapping, Unna boot | 1.7K | $86.0K | $49.51 | 1.80x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 643 | $80.4K | $125.08 | 1.82x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. 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.
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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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