This provider's $14.2M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Medicare payments to this provider grew 6434% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 13039% 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 | $516.69 | $86.41 | 5.98x | $430.28 | $120.7K | 1.4K | 5 |
| 2015 | $465.31 | $89.20 | 5.22x | $376.11 | $113.3K | 1.3K | 5 |
| 2016 | $882.86 | $101.50 | 8.70x | $781.36 | $102.0K | 1.0K | 5 |
| 2017 | $942.97 | $99.81 | 9.45x | $843.16 | $62.4K | 625 | 5 |
| 2018 | $1.3K | $110.08 | 12.10x | $1.2K | $46.7K | 424 | 3 |
| 2019 | $1.2K | $97.59 | 12.67x | $1.1K | $46.1K | 472 | 5 |
| 2020 | $1.3K | $106.98 | 11.90x | $1.2K | $25.9K | 242 | 4 |
| 2021 | $190.53 | $83.81 | 2.27x | $106.72 | $43.4K | 518 | 7 |
| 2022 | $662.19 | $497.80 | 1.33x | $164.39 | $5.7M | 11.5K | 10 |
| 2023 | $664.42 | $493.38 | 1.35x | $171.04 | $7.9M | 16.0K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 10.8K | $7.5M | $689.92 | 1.28x |
| Q4188 | Amnioarmor, per square centimeter | 4.0K | $3.0M | $744.80 | 1.28x |
| Q4262 | Dual layer impax membrane, per square centimeter | 1.1K | $1.2M | $1.1K | 1.28x |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 1.4K | $1.1M | $757.42 | 1.27x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 4.0K | $454.3K | $112.71 | 2.15x |
| 99285 | Emergency department visit for life threatening or functioning severity | 2.5K | $336.0K | $134.62 | 8.23x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 4.1K | $270.9K | $65.53 | 2.26x |
| 99284 | Emergency department visit, problem of high severity | 1.2K | $111.2K | $89.60 | 7.98x |
| 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 | 783 | $102.2K | $130.51 | 2.37x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 255 | $43.5K | $170.44 | 7.37x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 637 | $39.7K | $62.25 | 2.20x |
| 99283 | Emergency department visit, moderately severe problem | 598 | $28.0K | $46.89 | 9.52x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 148 | $20.2K | $136.30 | 2.35x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 349 | $14.7K | $42.20 | 2.56x |
| 93922 | Ultrasound study of arm and leg arteries | 92 | $7.0K | $75.85 | 2.18x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 919 | $6.1K | $6.61 | 9.47x |
| 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 | 224 | $4.7K | $20.91 | 2.35x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | $3.2K | $56.04 | 3.01x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 28 | $1.9K | $67.76 | 1.92x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 15 | $605.70 | $40.38 | 3.71x |
This provider submits charges 1.59 times higher than what Medicare actually pays.
A markup ratio of 1.59x means for every $100 Medicare pays, this provider initially charges $159. This is lower than the national average.
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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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