This provider averages 62 services per working day
Based on 154.4K 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 Internal Medicine providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 127% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2019
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 | $168.13 | $62.93 | 2.67x | $105.20 | $495.8K | 12.0K | 7.0K |
| 2015 | $169.86 | $61.78 | 2.75x | $108.08 | $514.3K | 12.5K | 7.4K |
| 2016 | $156.80 | $55.20 | 2.84x | $101.60 | $575.9K | 15.2K | 8.5K |
| 2017 | $159.17 | $60.37 | 2.64x | $98.80 | $403.8K | 10.8K | 6.2K |
| 2018 | $131.20 | $54.62 | 2.40x | $76.58 | $477.7K | 12.7K | 7.3K |
| 2019 | $142.30 | $58.87 | 2.42x | $83.43 | $807.8K | 16.8K | 11.4K |
| 2020 | $215.67 | $57.68 | 3.74x | $157.99 | $745.5K | 15.9K | 10.9K |
| 2021 | $215.70 | $57.25 | 3.77x | $158.45 | $948.5K | 18.8K | 11.0K |
| 2022 | $258.14 | $75.33 | 3.43x | $182.81 | $980.8K | 19.2K | 10.8K |
| 2023 | $264.14 | $74.25 | 3.56x | $189.89 | $1.1M | 20.5K | 12.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 28.9K | $1.8M | $63.02 | 2.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.0K | $827.9K | $103.35 | 1.81x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.4K | $488.8K | $142.92 | 1.53x |
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 2.9K | $326.5K | $111.57 | 1.79x |
| 76536 | Ultrasound of head and neck | 3.1K | $323.5K | $104.56 | 2.39x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 6.8K | $300.6K | $44.42 | 3.22x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 5.3K | $273.2K | $51.22 | 2.93x |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 8.0K | $235.5K | $29.59 | 1.69x |
| 94010 | Measurement and graphic recording of total and timed exhaled air capacity | 4.4K | $129.2K | $29.37 | 6.10x |
| 92548 | Assessment of balance and postural instability | 2.3K | $127.7K | $54.41 | 3.64x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.0K | $106.7K | $13.37 | 6.36x |
| 96138 | Psychological or neuropsychological test administration and scoring by technician, first 30 minutes | 2.9K | $101.1K | $34.75 | 2.88x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.3K | $97.2K | $42.95 | 2.33x |
| G0008 | Administration of influenza virus vaccine | 3.6K | $96.6K | $26.82 | 1.86x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.5K | $95.2K | $64.04 | 2.73x |
| 90670 | Pneumococcal vaccine for injection into muscle | 519 | $88.1K | $169.82 | 1.18x |
| 95911 | Nerve transmission studies, 9-10 studies | 371 | $76.6K | $206.34 | 4.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 526 | $75.4K | $143.29 | 1.83x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 3.3K | $70.6K | $21.71 | 2.30x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 279 | $63.1K | $226.11 | 1.69x |
This provider submits charges 2.64 times higher than what Medicare actually pays.
A markup ratio of 2.64x means for every $100 Medicare pays, this provider initially charges $264. 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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