This provider averages 57 services per working day
Based on 56.8K total services over 4 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.7M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Averaging 57 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2721% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1525% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $33.18 | $15.91 | 2.09x | $17.27 | $167.3K | 10.5K | 5 |
| 2021 | $47.73 | $22.22 | 2.15x | $25.51 | $491.5K | 22.1K | 8 |
| 2022 | $43.45 | $15.83 | 2.74x | $27.62 | $290.3K | 18.3K | 5 |
| 2023 | $1.1K | $815.69 | 1.33x | $271.83 | $4.7M | 5.8K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 2.3K | $2.5M | $1.1K | 1.28x |
| Q4221 | Amniowrap2, per square centimeter | 1.4K | $1.4M | $990.98 | 1.28x |
| Q4204 | Xwrap, per square centimeter | 672 | $737.6K | $1.1K | 1.28x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 46.5K | $626.2K | $13.45 | 1.78x |
| Q4177 | Floweramnioflo, 0.1 cc | 1.0K | $143.6K | $143.57 | 1.39x |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 1.4K | $129.4K | $91.94 | 5.94x |
| 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 | 301 | $34.9K | $116.06 | 3.24x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 262 | $22.8K | $87.03 | 2.40x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 414 | $22.3K | $53.83 | 3.73x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 126 | $19.6K | $155.56 | 3.63x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 140 | $12.7K | $90.72 | 3.41x |
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 1.2K | $11.9K | $9.91 | 1.51x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 105 | $10.4K | $98.85 | 3.18x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 193 | $10.4K | $53.72 | 3.07x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 169 | $9.6K | $56.89 | 2.44x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | $4.9K | $118.91 | 2.84x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 86 | $4.5K | $52.68 | 3.53x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 41 | $3.9K | $95.26 | 4.57x |
| 15272 | Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | 46 | $819.26 | $17.81 | 3.43x |
| 99203 | New patient outpatient visit, total time 30-44 minutes | 12 | $544.54 | $45.38 | 4.87x |
This provider submits charges 1.5 times higher than what Medicare actually pays.
A markup ratio of 1.5x means for every $100 Medicare pays, this provider initially charges $150. 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.
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