This provider's $8.9M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 10941% from 2014 to 2023.
68% of their billing comes from a single procedure code (Q4217 — Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2230% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $117.78 | $43.97 | 2.68x | $73.81 | $38.9K | 884 | 11 |
| 2015 | $103.82 | $59.53 | 1.74x | $44.29 | $130.7K | 2.2K | 15 |
| 2016 | $106.87 | $58.16 | 1.84x | $48.71 | $216.3K | 3.7K | 15 |
| 2017 | $241.17 | $74.01 | 3.26x | $167.16 | $113.7K | 1.5K | 10 |
| 2018 | $262.14 | $73.67 | 3.56x | $188.47 | $171.2K | 2.3K | 13 |
| 2019 | $257.45 | $63.51 | 4.05x | $193.94 | $147.9K | 2.3K | 13 |
| 2020 | $252.29 | $49.97 | 5.05x | $202.32 | $186.6K | 3.7K | 16 |
| 2021 | $258.12 | $56.96 | 4.53x | $201.16 | $146.5K | 2.6K | 16 |
| 2022 | $499.79 | $343.24 | 1.46x | $156.55 | $3.4M | 9.9K | 12 |
| 2023 | $694.71 | $419.79 | 1.65x | $274.92 | $4.3M | 10.2K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 9.1K | $6.0M | $657.55 | 1.35x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 880 | $675.1K | $767.14 | 1.28x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 7.2K | $549.9K | $75.86 | 3.56x |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 2.7K | $355.9K | $131.41 | 2.92x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 2.2K | $149.1K | $67.55 | 2.86x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.6K | $134.1K | $50.95 | 2.67x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.1K | $125.2K | $59.73 | 3.04x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.0K | $108.2K | $54.17 | 3.34x |
| 97610 | Therapy procedure using ultrasound | 295 | $98.4K | $333.42 | 2.49x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 870 | $96.2K | $110.57 | 3.10x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 881 | $89.7K | $101.86 | 3.79x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 824 | $75.4K | $91.51 | 2.79x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 2.2K | $61.4K | $27.84 | 3.62x |
| 99183 | Management of oxygen chamber therapy | 677 | $58.8K | $86.80 | 2.62x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 277 | $40.2K | $144.97 | 4.18x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 407 | $39.3K | $96.49 | 2.44x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.2K | $38.7K | $32.62 | 2.37x |
| 17250 | Application of chemical to stop tissue regrowth in wound | 770 | $33.4K | $43.43 | 3.48x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 242 | $29.3K | $121.01 | 3.12x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 216 | $27.1K | $125.32 | 3.70x |
This provider submits charges 1.81 times higher than what Medicare actually pays.
A markup ratio of 1.81x means for every $100 Medicare pays, this provider initially charges $181. 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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