This provider averages 96 services per working day
Based on 239.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 96 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 279% from 2014 to 2023.
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 | $110.17 | $67.40 | 1.63x | $42.77 | $367.0K | 6.7K | 3.7K |
| 2015 | $92.86 | $56.85 | 1.63x | $36.01 | $494.7K | 11.3K | 6.7K |
| 2016 | $84.50 | $49.58 | 1.70x | $34.92 | $559.4K | 17.0K | 9.2K |
| 2017 | $85.00 | $48.50 | 1.75x | $36.50 | $678.4K | 21.4K | 11.1K |
| 2018 | $65.96 | $38.41 | 1.72x | $27.55 | $753.7K | 25.1K | 12.9K |
| 2019 | $62.35 | $36.05 | 1.73x | $26.30 | $782.5K | 27.0K | 13.7K |
| 2020 | $60.11 | $33.53 | 1.79x | $26.58 | $844.5K | 29.0K | 15.5K |
| 2021 | $67.07 | $39.10 | 1.72x | $27.97 | $994.6K | 30.4K | 16.5K |
| 2022 | $70.98 | $38.62 | 1.84x | $32.36 | $1.1M | 27.7K | 17.0K |
| 2023 | $65.50 | $32.89 | 1.99x | $32.61 | $1.4M | 43.8K | 24.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 30.2K | $2.8M | $91.91 | 1.61x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.1K | $1.1M | $61.67 | 1.60x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.1K | $647.0K | $126.64 | 1.34x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 15.0K | $276.7K | $18.40 | 1.79x |
| 82306 | Vitamin D-3 level | 7.4K | $242.7K | $32.98 | 1.53x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $221.5K | $124.42 | 1.60x |
| 84481 | Thyroid hormone, T3 measurement | 9.7K | $175.1K | $18.11 | 1.73x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 11.9K | $165.7K | $13.97 | 2.02x |
| 80053 | Blood test, comprehensive group of blood chemicals | 14.0K | $158.6K | $11.35 | 2.60x |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 5.2K | $141.2K | $27.21 | 1.18x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 8.3K | $139.5K | $16.76 | 1.82x |
| 83970 | Parathormone (parathyroid hormone) level | 3.0K | $129.7K | $42.93 | 1.78x |
| 82746 | Folic acid level | 7.5K | $122.8K | $16.32 | 1.84x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 11.4K | $99.0K | $8.65 | 2.38x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 5.2K | $97.5K | $18.76 | 1.60x |
| 84439 | Thyroxine (thyroid chemical) measurement | 9.7K | $94.9K | $9.81 | 2.27x |
| G0444 | Annual depression screening, 15 minutes | 5.1K | $94.8K | $18.67 | 1.61x |
| 36415 | Insertion of needle into vein for collection of blood sample | 22.4K | $87.1K | $3.89 | 2.57x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 476 | $80.8K | $169.76 | 1.62x |
| 83036 | Hemoglobin A1C level | 7.9K | $78.6K | $9.96 | 2.61x |
This provider submits charges 1.7 times higher than what Medicare actually pays.
A markup ratio of 1.7x means for every $100 Medicare pays, this provider initially charges $170. 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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