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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Michael Valachovic
🩺
MDIndividual

Michael Valachovic, M.D.

NPI: 1982813028
Dallas, TX
10 years of data
Internal Medicine
$19.7M
Total Payments
940.9K
Beneficiaries
1.3M
Services
4.32x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$19.7M
Specialty median$84.0K

📋 Key Findings

1Billed $19.7M over 10 years
24.32x markup ratio (above median)
399th percentile in Internal Medicine by payments
4514 services/day — physically implausible
513 procedures with >3x markup

⚠️ This provider averages 514 services per working day — physically unusual for an individual practitioner

Based on 1.3M total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $19.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.

Averaging 514 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$85.67$25.983.30x$59.69$5.3M387.4K279.4K
2015$87.18$25.753.39x$61.43$5.8M416.9K300.0K
2016$84.34$26.473.19x$57.87$5.8M411.0K308.1K
2017$212.68$44.814.75x$167.87$705.2K29.4K26.5K
2018$306.24$59.365.16x$246.88$549.6K14.7K10.4K
2019$230.03$64.533.56x$165.50$409.3K7.7K5.4K
2020$178.83$65.532.73x$113.30$346.0K5.9K3.8K
2021$227.54$70.873.21x$156.67$407.9K6.1K3.9K
2022$234.84$62.183.78x$172.66$251.1K4.0K2.2K
2023$178.37$76.252.34x$102.12$119.5K1.9K1.2K

Top Procedures (20)

80053Blood test, comprehensive group of blood chemicals⚠ 6.3x markup
$2.7M
216.7K services$12.66/svc6.32x markup
84443Blood test, thyroid stimulating hormone (TSH)⚠ 3.9x markup
$2.7M
119.9K services$22.25/svc3.87x markup
80061Blood test, lipids (cholesterol and triglycerides)⚠ 6.6x markup
$2.1M
167.2K services$12.59/svc6.59x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test⚠ 3.1x markup
$1.7M
163.2K services$10.28/svc3.11x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$1.4M
17.3K services$78.40/svc2.22x markup
82306Vitamin D-3 level
$1.3M
35.7K services$35.78/svc2.79x markup
83036Hemoglobin A1C level⚠ 3.3x markup
$1.1M
88.3K services$12.77/svc3.29x markup
80048Blood test, basic group of blood chemicals⚠ 6.5x markup
$458.1K
46.1K services$9.94/svc6.54x markup
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$442.0K
3.6K services$122.00/svc1.21x markup
83880Natriuretic peptide (heart and blood vessel protein) level
$434.9K
9.7K services$44.63/svc2.69x markup
G0103Prostate cancer screening; prostate specific antigen test (psa)
$349.7K
14.3K services$24.44/svc1.08x markup
84439Thyroxine (thyroid chemical) measurement⚠ 5.8x markup
$327.2K
27.7K services$11.83/svc5.83x markup
83970Parathormone (parathyroid hormone) level⚠ 4.3x markup
$287.1K
5.3K services$53.96/svc4.30x markup
81001Manual urinalysis test with examination using microscope⚠ 5.3x markup
$256.4K
61.3K services$4.18/svc5.26x markup
82607Cyanocobalamin (vitamin B-12) level⚠ 3.8x markup
$234.8K
11.8K services$19.83/svc3.83x markup
84153PSA (prostate specific antigen) measurement⚠ 3.5x markup
$234.5K
9.7K services$24.29/svc3.50x markup
82043Urine microalbumin (protein) level⚠ 7.0x markup
$218.2K
29.9K services$7.31/svc6.98x markup
82570Creatinine level to test for kidney function or muscle injury⚠ 8.3x markup
$204.0K
30.1K services$6.78/svc8.26x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$187.4K
3.8K services$49.05/svc2.16x markup
84403Testosterone (hormone) level
$158.1K
4.7K services$33.59/svc2.98x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
80053Blood test, comprehensive group of blood chemicals216.7K$2.7M$12.666.32x
84443Blood test, thyroid stimulating hormone (TSH)119.9K$2.7M$22.253.87x
80061Blood test, lipids (cholesterol and triglycerides)167.2K$2.1M$12.596.59x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test163.2K$1.7M$10.283.11x
99214Established patient office or other outpatient, visit typically 25 minutes17.3K$1.4M$78.402.22x
82306Vitamin D-3 level35.7K$1.3M$35.782.79x
83036Hemoglobin A1C level88.3K$1.1M$12.773.29x
80048Blood test, basic group of blood chemicals46.1K$458.1K$9.946.54x
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3.6K$442.0K$122.001.21x
83880Natriuretic peptide (heart and blood vessel protein) level9.7K$434.9K$44.632.69x
G0103Prostate cancer screening; prostate specific antigen test (psa)14.3K$349.7K$24.441.08x
84439Thyroxine (thyroid chemical) measurement27.7K$327.2K$11.835.83x
83970Parathormone (parathyroid hormone) level5.3K$287.1K$53.964.30x
81001Manual urinalysis test with examination using microscope61.3K$256.4K$4.185.26x
82607Cyanocobalamin (vitamin B-12) level11.8K$234.8K$19.833.83x
84153PSA (prostate specific antigen) measurement9.7K$234.5K$24.293.50x
82043Urine microalbumin (protein) level29.9K$218.2K$7.316.98x
82570Creatinine level to test for kidney function or muscle injury30.1K$204.0K$6.788.26x
99213Established patient office or other outpatient visit, typically 15 minutes3.8K$187.4K$49.052.16x
84403Testosterone (hormone) level4.7K$158.1K$33.592.98x

Markup Analysis

Charge-to-Payment Ratio

4.32x

This provider submits charges 4.32 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.32x means for every $100 Medicare pays, this provider initially charges $432. This is higher than the national average.

Location

Dallas, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Internal Medicine providers in TX for peer comparison.

Michael Valachovic (you)
$19.7M
Owen Ellington, M.D, J.D.
$34.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Owen Ellington, M.D, J.D.Humble, TX$34.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data