Medicare spending analysis for Family Practice providers
Family Practice accounts for $44.3B in Medicare payments across 804.1K providers.
The specialty's average markup of 2.8x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $4.4B | 113.1M | 80.1K | — |
| 2015 | $4.7B | 124.3M | 80.9K | +6.9% |
| 2016 | $4.6B | 123.6M | 81.6K | -1.2% |
| 2017 | $4.6B | 122.5M | 81.8K | -1.2% |
| 2018 | $4.5B | 119.2M | 81.5K | -1.6% |
| 2019 | $4.5B | 116.4M | 81.4K | +0.6% |
| 2020 | $3.9B | 99.3M | 79.5K | -13.2% |
| 2021 | $4.6B | 103.4M | 80.0K | +17.0% |
| 2022 | $4.3B | 95.1M | 78.9K | -7.1% |
| 2023 | $4.4B | 93.3M | 78.5K | +2.4% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Kirk Mitchell | CO | $27.1M | 29.7K | $913.02 |
| 2 | Samuel Jurca | TX | $24.0M | 26.6K | $901.34 |
| 3 | Simon Fensterszaub | NY | $14.8M | 916.0K | $16.12 |
| 4 | Frank Curvin | GA | $10.6M | 15.5K | $685.79 |
| 5 | Kacian Brown | FL | $9.4M | 18.7K | $502.71 |
| 6 | Daniel Gutstein | IL | $9.3M | 12.5K | $745.02 |
| 7 | Scott Martin | MS | $9.0M | 10.8K | $833.48 |
| 8 | Violetta Mailyan | CA | $8.8M | 1.6M | $5.53 |
| 9 | Eugene Wade | NC | $7.2M | 275.0K | $26.10 |
| 10 | Kristi Hunter | GA | $6.4M | 281.9K | $22.88 |
| 11 | Ali Saberi | FL | $5.7M | 8.3K | $682.47 |
| 12 | Thomas Denmark | OK | $5.3M | 4.8K | $1.1K |
| 13 | Rahul Khapekar | IL | $5.2M | 456.9K | $11.39 |
| 14 | Joshua Holland | AZ | $5.1M | 7.0K | $732.73 |
| 15 | Humberto Villalvazo | CA | $4.3M | 7.0K | $608.03 |
| 16 | Vladimir Urbin | IL | $4.2M | 16.0K | $262.23 |
| 17 | Seth Camhi | CA | $4.1M | 28.7K | $143.92 |
| 18 | Annie Casta | FL | $4.1M | 345.8K | $11.77 |
| 19 | Alexander Frank | OK | $4.0M | 14.0K | $286.05 |
| 20 | Stephen Parks | SC | $3.9M | 205.6K | $18.80 |
| 21 | Laura Purdy | CA | $3.7M | 283.7K | $13.10 |
| 22 | Michael Hafran | MI | $3.7M | 90.3K | $40.70 |
| 23 | Steve Tran | FL | $3.1M | 8.5K | $365.67 |
| 24 | Maria Ortiz | CA | $3.0M | 35.0K | $85.53 |
| 25 | Martin Schnell | FL | $2.9M | 3.9K | $759.76 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $1.2B | 15.3M | $78.58 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $474.4M | 4.0M | $118.29 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $456.9M | 8.1M | $56.69 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $121.7M | 1.0M | $116.97 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $113.1M | 1.8M | $61.41 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $102.8M | 370.5K | $277.48 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $97.9M | 1.1M | $93.13 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $92.1M | 1.1M | $81.12 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $62.7M | 470.7K | $133.11 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $61.6M | 1.1M | $56.71 |
| 90662 | Influenza vaccine split virus, preservative free | $61.3M | 871.3K | $70.35 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $59.1M | 1.3M | $44.47 |
| Q4262 | Dual layer impax membrane, per square centimeter | $49.8M | 48.3K | $1.0K |
| G0008 | Administration of influenza virus vaccine | $46.0M | 1.6M | $29.55 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $45.5M | 433.5K | $104.99 |
| J0897 | Injection, denosumab, 1 mg | $44.0M | 2.4M | $18.03 |
| 99239 | Hospital discharge day management, more than 30 minutes | $39.8M | 449.9K | $88.54 |
| 36415 | Insertion of needle into vein for collection of blood sample | $39.3M | 4.9M | $8.04 |
| 99497 | Advance care planning, first 30 minutes | $35.0M | 514.5K | $68.00 |
| 99285 | Emergency department visit with high level of medical decision making | $33.2M | 247.0K | $134.50 |
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.