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View DOJ source →This provider averages 108 services per working day
Based on 135.6K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $123.9M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 108 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2694461% from 2019 to 2023.
100% of their billing comes from a single procedure code (Q4262 — Dual layer impax membrane, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 686492% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $117.40 | $43.78 | 2.68x | $73.62 | $4.6K | 105 | 3 |
| 2020 | $95.30 | $29.49 | 3.23x | $65.81 | $15.2K | 516 | 11 |
| 2021 | $94.71 | $36.18 | 2.62x | $58.53 | $18.9K | 523 | 11 |
| 2022 | $125.60 | $42.45 | 2.96x | $83.15 | $18.0K | 425 | 6 |
| 2023 | $1.2K | $924.50 | 1.28x | $258.72 | $123.9M | 134.0K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 132.6K | $123.8M | $933.50 | 1.28x |
| 15274 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 847 | $45.7K | $53.90 | 1.65x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 878 | $40.6K | $46.28 | 2.99x |
| 15273 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 151 | $20.0K | $132.41 | 1.64x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | $7.7K | $71.01 | 2.84x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 265 | $7.4K | $28.03 | 3.15x |
| 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 | 64 | $6.3K | $99.18 | 1.62x |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 161 | $4.2K | $25.87 | 1.83x |
| 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 | 117 | $1.9K | $15.84 | 1.64x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 39 | $1.1K | $27.29 | 1.04x |
| 80053 | Blood test, comprehensive group of blood chemicals | 73 | $765.17 | $10.48 | 2.99x |
| 93000 | Routine ekg using at least 12 leads including interpretation and report | 35 | $324.06 | $9.26 | 4.22x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 18 | $297.36 | $16.52 | 1.03x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 39 | $294.36 | $7.55 | 5.98x |
| 87086 | Bacterial colony count, urine | 31 | $248.25 | $8.01 | 7.37x |
| G0008 | Administration of influenza virus vaccine | 12 | $195.00 | $16.25 | 2.09x |
| 83690 | Lipase (fat enzyme) level | 28 | $192.64 | $6.88 | 6.98x |
| 90688 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 11 | $192.28 | $17.48 | 2.00x |
| 71046 | X-ray of chest, 2 views | 11 | $179.46 | $16.31 | 6.87x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 13 | $173.53 | $13.35 | 5.17x |
This provider submits charges 1.28 times higher than what Medicare actually pays.
A markup ratio of 1.28x means for every $100 Medicare pays, this provider initially charges $128. 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 |
| 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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