This provider averages 158 services per working day
Based on 396.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.0M in total Medicare payments ranks in the 99th percentile of Undersea and Hyperbaric Medicine providers nationally.
Averaging 158 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2847% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2823% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $160.46 | $73.91 | 2.17x | $86.55 | $106.1K | 1.4K | 9 |
| 2015 | $186.22 | $79.69 | 2.34x | $106.53 | $101.1K | 1.3K | 10 |
| 2016 | $184.20 | $72.26 | 2.55x | $111.94 | $103.3K | 1.4K | 10 |
| 2017 | $224.71 | $77.61 | 2.90x | $147.10 | $101.2K | 1.3K | 9 |
| 2018 | $299.51 | $70.46 | 4.25x | $229.05 | $88.6K | 1.3K | 8 |
| 2019 | $54.06 | $39.82 | 1.36x | $14.24 | $2.6M | 65.0K | 31 |
| 2020 | $60.00 | $43.81 | 1.37x | $16.19 | $3.0M | 67.5K | 30 |
| 2021 | $90.48 | $65.16 | 1.39x | $25.32 | $5.6M | 85.4K | 30 |
| 2022 | $98.13 | $70.35 | 1.39x | $27.78 | $5.3M | 75.5K | 28 |
| 2023 | $46.65 | $32.62 | 1.43x | $14.03 | $3.1M | 95.8K | 30 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4197 | Puraply xt, per square centimeter | 34.9K | $7.3M | $207.97 | 1.43x |
| J0875 | Injection, dalbavancin, 5 mg | 231.8K | $2.7M | $11.76 | 1.42x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 22.4K | $2.1M | $92.29 | 1.34x |
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 11.0K | $1.2M | $107.66 | 1.33x |
| Q4159 | Affinity, per square centimeter | 1.2K | $1.0M | $811.57 | 1.41x |
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter | 6.3K | $683.1K | $108.58 | 1.28x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 606 | $653.6K | $1.1K | 1.27x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 20.7K | $652.8K | $31.49 | 1.33x |
| Q4194 | Novachor, per square centimeter | 695 | $561.2K | $807.52 | 1.61x |
| A2001 | Innovamatrix ac, per square centimeter | 380 | $306.9K | $807.52 | 1.30x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 3.7K | $262.8K | $71.50 | 1.36x |
| 99183 | Management of oxygen chamber therapy | 2.8K | $234.0K | $84.11 | 1.33x |
| Q4160 | Nushield, per square centimeter | 1.1K | $179.0K | $164.49 | 1.88x |
| 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 | 1.4K | $163.3K | $118.09 | 1.27x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $159.8K | $77.18 | 2.90x |
| 11044 | Removal of bone, 20.0 sq cm or less | 624 | $151.1K | $242.16 | 1.28x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance | 128 | $137.4K | $1.1K | 1.31x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 775 | $133.5K | $172.23 | 1.30x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.2K | $118.8K | $53.79 | 2.83x |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 3.7K | $113.4K | $30.29 | 1.32x |
This provider submits charges 1.43 times higher than what Medicare actually pays.
A markup ratio of 1.43x means for every $100 Medicare pays, this provider initially charges $143. 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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