⚠️ 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 →
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.
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 | $85.67 | $25.98 | 3.30x | $59.69 | $5.3M | 387.4K | 279.4K |
| 2015 | $87.18 | $25.75 | 3.39x | $61.43 | $5.8M | 416.9K | 300.0K |
| 2016 | $84.34 | $26.47 | 3.19x | $57.87 | $5.8M | 411.0K | 308.1K |
| 2017 | $212.68 | $44.81 | 4.75x | $167.87 | $705.2K | 29.4K | 26.5K |
| 2018 | $306.24 | $59.36 | 5.16x | $246.88 | $549.6K | 14.7K | 10.4K |
| 2019 | $230.03 | $64.53 | 3.56x | $165.50 | $409.3K | 7.7K | 5.4K |
| 2020 | $178.83 | $65.53 | 2.73x | $113.30 | $346.0K | 5.9K | 3.8K |
| 2021 | $227.54 | $70.87 | 3.21x | $156.67 | $407.9K | 6.1K | 3.9K |
| 2022 | $234.84 | $62.18 | 3.78x | $172.66 | $251.1K | 4.0K | 2.2K |
| 2023 | $178.37 | $76.25 | 2.34x | $102.12 | $119.5K | 1.9K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 216.7K | $2.7M | $12.66 | 6.32x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 119.9K | $2.7M | $22.25 | 3.87x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 167.2K | $2.1M | $12.59 | 6.59x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 163.2K | $1.7M | $10.28 | 3.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.3K | $1.4M | $78.40 | 2.22x |
| 82306 | Vitamin D-3 level | 35.7K | $1.3M | $35.78 | 2.79x |
| 83036 | Hemoglobin A1C level | 88.3K | $1.1M | $12.77 | 3.29x |
| 80048 | Blood test, basic group of blood chemicals | 46.1K | $458.1K | $9.94 | 6.54x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.6K | $442.0K | $122.00 | 1.21x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 9.7K | $434.9K | $44.63 | 2.69x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 14.3K | $349.7K | $24.44 | 1.08x |
| 84439 | Thyroxine (thyroid chemical) measurement | 27.7K | $327.2K | $11.83 | 5.83x |
| 83970 | Parathormone (parathyroid hormone) level | 5.3K | $287.1K | $53.96 | 4.30x |
| 81001 | Manual urinalysis test with examination using microscope | 61.3K | $256.4K | $4.18 | 5.26x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 11.8K | $234.8K | $19.83 | 3.83x |
| 84153 | PSA (prostate specific antigen) measurement | 9.7K | $234.5K | $24.29 | 3.50x |
| 82043 | Urine microalbumin (protein) level | 29.9K | $218.2K | $7.31 | 6.98x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 30.1K | $204.0K | $6.78 | 8.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $187.4K | $49.05 | 2.16x |
| 84403 | Testosterone (hormone) level | 4.7K | $158.1K | $33.59 | 2.98x |
This provider submits charges 4.32 times higher than what Medicare actually pays.
A markup ratio of 4.32x means for every $100 Medicare pays, this provider initially charges $432. 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.
Other Internal Medicine providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Owen Ellington, M.D, J.D. | Humble, TX | $34.4M | ✓ Clear |
Share this provider's Medicare payment information
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