This provider averages 52 services per working day
Based on 130.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $3.2M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 371% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 180% in 2020
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 | $115.11 | $32.96 | 3.49x | $82.15 | $118.9K | 2.9K | 2.7K |
| 2015 | $118.83 | $40.71 | 2.92x | $78.12 | $144.2K | 3.4K | 3.2K |
| 2016 | $128.24 | $44.14 | 2.91x | $84.10 | $218.8K | 4.7K | 4.4K |
| 2017 | $121.27 | $41.54 | 2.92x | $79.73 | $171.2K | 3.7K | 3.5K |
| 2018 | $149.62 | $40.86 | 3.66x | $108.76 | $165.5K | 3.5K | 3.3K |
| 2019 | $114.20 | $38.08 | 3.00x | $76.12 | $176.8K | 3.5K | 3.3K |
| 2020 | $130.65 | $34.41 | 3.80x | $96.24 | $495.2K | 21.3K | 17.6K |
| 2021 | $125.31 | $31.22 | 4.01x | $94.09 | $639.7K | 31.4K | 22.3K |
| 2022 | $132.79 | $29.04 | 4.57x | $103.75 | $517.3K | 27.2K | 19.5K |
| 2023 | $153.99 | $32.65 | 4.72x | $121.34 | $559.7K | 29.1K | 20.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 5.0K | $597.0K | $119.88 | 2.80x |
| 77063 | Screening digital tomography of both breasts | 6.5K | $323.9K | $50.18 | 2.86x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.1K | $246.5K | $118.90 | 2.47x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 8.2K | $136.8K | $16.60 | 5.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $110.8K | $72.71 | 3.02x |
| 82306 | Vitamin D-3 level | 3.4K | $99.5K | $29.50 | 4.37x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 7.4K | $96.9K | $13.10 | 8.37x |
| 80053 | Blood test, comprehensive group of blood chemicals | 9.0K | $93.6K | $10.39 | 7.96x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.2K | $80.3K | $35.79 | 8.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $79.0K | $53.04 | 3.00x |
| 76536 | Ultrasound of head and neck | 1.1K | $75.4K | $70.83 | 5.28x |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.1K | $75.4K | $35.65 | 5.07x |
| 36415 | Insertion of needle into vein for collection of blood sample | 15.9K | $67.6K | $4.26 | 4.35x |
| 83036 | Hemoglobin A1C level | 7.0K | $65.7K | $9.45 | 8.14x |
| 84439 | Thyroxine (thyroid chemical) measurement | 5.9K | $51.7K | $8.83 | 7.47x |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 2.7K | $51.0K | $18.71 | 3.68x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 459 | $42.9K | $93.47 | 2.76x |
| 87800 | Detection test for multiple organisms | 868 | $40.2K | $46.35 | 3.46x |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 939 | $37.9K | $40.31 | 2.63x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 4.9K | $37.6K | $7.66 | 6.51x |
This provider submits charges 4.1 times higher than what Medicare actually pays.
A markup ratio of 4.1x means for every $100 Medicare pays, this provider initially charges $410. 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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