Assuming the 'doctor' works 5 days a week with no vacation, this means an average of 218 patients and 3,846 services ... per DAY!
One thing to keep in mind...there are a lot of services where a physician is listed as the provider, but the patient comes in for multiple appointments to have serially administered shots, therapy, etc.
It doesn’t mean the physician had direct contact each and every time, but it comes under their name (because someone has to be the responsible, authorized person)
I don’t know if that is the case here, but it is the kind of thing you see. One patient might come in for ten follow-up appointments, etc.
The title left out “and donate heavily to democrats”.