This provider averages 64 services per working day
Based on 47.6K total services over 3 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.7M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 64 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 143% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 175% 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 |
|---|---|---|---|---|---|---|---|
| 2021 | $431.07 | $305.32 | 1.41x | $125.75 | $3.5M | 11.5K | 10 |
| 2022 | $555.93 | $410.42 | 1.35x | $145.51 | $9.7M | 23.5K | 12 |
| 2023 | $954.17 | $674.93 | 1.41x | $279.24 | $8.5M | 12.6K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 10.7K | $7.9M | $742.47 | 1.28x |
| Q4173 | Palingen or palingen xplus, per square centimeter | 13.9K | $6.3M | $452.58 | 1.37x |
| Q4178 | Floweramniopatch, per square centimeter | 13.8K | $5.0M | $360.07 | 1.25x |
| Q4262 | Dual layer impax membrane, per square centimeter | 1.8K | $1.7M | $927.49 | 1.46x |
| 97610 | Therapy procedure using ultrasound | 1.2K | $360.3K | $288.68 | 2.69x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.9K | $155.6K | $82.07 | 2.63x |
| 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 | $144.9K | $99.93 | 3.64x |
| 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 | 495 | $51.0K | $103.02 | 3.79x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 1.5K | $32.5K | $22.17 | 10.52x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 212 | $22.1K | $104.24 | 3.65x |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 91 | $19.4K | $212.64 | 1.98x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 99 | $10.9K | $110.12 | 3.54x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | $9.0K | $57.54 | 2.90x |
| 11001 | Removal of inflamed or infected skin, each additional 10% of body surface or less | 208 | $3.4K | $16.43 | 5.77x |
| 99310 | Follow-up nursing facility visit per day, typically 35 minutes | 36 | $3.1K | $87.02 | 2.91x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 38 | $2.7K | $72.00 | 3.63x |
| 99349 | Established patient home visit, typically 40 minutes | 16 | $1.3K | $84.22 | 2.37x |
| 15852 | Dressing change under anesthesia | 59 | $940.79 | $15.95 | 4.95x |
This provider submits charges 1.39 times higher than what Medicare actually pays.
A markup ratio of 1.39x means for every $100 Medicare pays, this provider initially charges $139. 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.
Other Nurse Practitioner providers in AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ira Denny, APRN-FNP | Surprise, AZ | $135.3M | ✓ Clear |
| Jorge Kinds, FNP | Phoenix, AZ | $123.9M | ✓ Clear |
| Carlos Ching, FNP | Phoenix, AZ | $62.9M | ✓ Clear |
| Bethany Jameson, FNP | Gilbert, AZ | $49.9M | ✓ Clear |
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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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