This provider's $7.0M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 512% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 171% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $146.83 | $105.82 | 1.39x | $41.01 | $307.0K | 2.3K | 678 |
| 2019 | $151.43 | $101.82 | 1.49x | $49.61 | $833.4K | 6.5K | 1.8K |
| 2020 | $153.90 | $106.08 | 1.45x | $47.82 | $1.0M | 8.1K | 2.1K |
| 2021 | $223.14 | $158.28 | 1.41x | $64.86 | $1.3M | 11.3K | 2.9K |
| 2022 | $272.75 | $194.62 | 1.40x | $78.13 | $1.6M | 13.1K | 3.1K |
| 2023 | $163.04 | $117.82 | 1.38x | $45.22 | $1.9M | 14.3K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11044 | Removal of skin and bone first 20 sq cm or less | 5.4K | $1.5M | $287.97 | 1.35x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 18.3K | $1.5M | $84.50 | 1.35x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 7.9K | $1.5M | $186.03 | 1.56x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 7.2K | $925.2K | $127.67 | 1.34x |
| 11047 | Removal of skin and bone | 2.5K | $279.1K | $111.16 | 1.35x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.6K | $234.2K | $148.68 | 1.34x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 3.7K | $228.3K | $61.93 | 1.37x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.9K | $211.3K | $114.10 | 1.38x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 2.3K | $191.1K | $81.40 | 1.99x |
| 11046 | Removal of skin and/or muscle | 1.7K | $113.9K | $68.30 | 1.35x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.6K | $60.7K | $37.70 | 1.42x |
| 49450 | Replacement of stomach or large bowel tube, accessed through skin using fluoroscopic guidance with contrast | 74 | $47.5K | $642.22 | 1.36x |
| 17250 | Application of chemical agent to excessive wound tissue | 721 | $43.9K | $60.95 | 1.72x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 386 | $30.2K | $78.24 | 1.39x |
| 11045 | Removal of skin and tissue | 318 | $12.1K | $38.20 | 1.35x |
| 49460 | Mechanical removal of obstructive material from stomach, large, or small bowel tube using fluoroscopic guidance | 11 | $7.8K | $711.80 | 1.36x |
| 10060 | Drainage of abscess | 13 | $1.2K | $91.45 | 1.66x |
This provider submits charges 1.42 times higher than what Medicare actually pays.
A markup ratio of 1.42x means for every $100 Medicare pays, this provider initially charges $142. 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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