This provider averages 108 services per working day
Based on 215.6K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 108 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $83.37 | $57.30 | 1.45x | $26.07 | $600.1K | 27.0K | 3.5K |
| 2017 | $74.95 | $50.46 | 1.49x | $24.49 | $602.9K | 25.9K | 3.9K |
| 2018 | $82.01 | $42.73 | 1.92x | $39.28 | $572.8K | 26.4K | 4.0K |
| 2019 | $74.82 | $39.08 | 1.91x | $35.74 | $567.6K | 28.8K | 3.8K |
| 2020 | $76.08 | $42.42 | 1.79x | $33.66 | $546.3K | 27.9K | 3.6K |
| 2021 | $74.96 | $48.93 | 1.53x | $26.03 | $573.6K | 25.5K | 3.2K |
| 2022 | $74.80 | $45.56 | 1.64x | $29.24 | $577.5K | 27.1K | 3.4K |
| 2023 | $72.00 | $46.50 | 1.55x | $25.50 | $745.7K | 27.1K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 26.9K | $1.4M | $53.45 | 1.55x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 46.9K | $1.4M | $29.63 | 1.69x |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the | 9.7K | $607.9K | $62.84 | 1.99x |
| 85610 | Blood test, clotting time | 78.2K | $359.7K | $4.60 | 1.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $301.2K | $88.18 | 1.41x |
| 93793 | Anti-clotting management for patient taking warfarin | 27.9K | $214.9K | $7.70 | 2.03x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 1.7K | $124.6K | $71.22 | 1.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 971 | $102.9K | $105.96 | 1.65x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 953 | $60.7K | $63.65 | 1.43x |
| 99348 | Established patient home visit, typically 25 minutes | 786 | $44.2K | $56.18 | 1.51x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 1.1K | $44.0K | $39.31 | 1.53x |
| 85018 | Hemoglobin measurement | 12.2K | $32.4K | $2.66 | 1.22x |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent | 3.5K | $20.7K | $5.95 | 1.99x |
| 99349 | Established patient home visit, typically 40 minutes | 169 | $14.4K | $85.42 | 1.52x |
| G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to | 89 | $6.8K | $76.08 | 1.81x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 138 | $6.6K | $48.03 | 1.36x |
| 93040 | Tracing of electrical activity of heart using 1-3 leads with interpretation and report | 640 | $5.3K | $8.34 | 1.85x |
| 99347 | Established patient home visit, typically 15 minutes | 128 | $4.8K | $37.79 | 1.46x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 64 | $4.1K | $63.33 | 1.35x |
| 93922 | Ultrasound study of arteries of both arms and legs | 30 | $1.8K | $61.30 | 1.63x |
This provider submits charges 1.63 times higher than what Medicare actually pays.
A markup ratio of 1.63x means for every $100 Medicare pays, this provider initially charges $163. 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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