This provider's $12.6M in total Medicare payments ranks in the 99th percentile of Osteopathic Manipulative Medicine providers nationally.
Medicare payments to this provider grew 3310% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1905% in 2020
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 | $346.52 | $82.77 | 4.19x | $263.75 | $97.1K | 1.2K | 5 |
| 2015 | $344.75 | $81.62 | 4.22x | $263.13 | $100.6K | 1.2K | 5 |
| 2016 | $397.91 | $82.22 | 4.84x | $315.69 | $73.9K | 899 | 5 |
| 2017 | $237.06 | $49.42 | 4.80x | $187.64 | $96.8K | 2.0K | 14 |
| 2018 | $174.79 | $45.50 | 3.84x | $129.29 | $120.4K | 2.6K | 15 |
| 2019 | $145.29 | $41.62 | 3.49x | $103.67 | $77.4K | 1.9K | 10 |
| 2020 | $621.85 | $246.98 | 2.52x | $374.87 | $1.6M | 6.3K | 17 |
| 2021 | $637.23 | $301.38 | 2.11x | $335.85 | $2.2M | 7.4K | 16 |
| 2022 | $886.47 | $468.57 | 1.89x | $417.90 | $4.9M | 10.5K | 15 |
| 2023 | $821.30 | $407.34 | 2.02x | $413.96 | $3.3M | 8.1K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A2001 | Innovamatrix ac, per square centimeter | 7.9K | $6.4M | $815.65 | 1.89x |
| Q4159 | Affinity, per square centimeter | 4.2K | $2.4M | $568.68 | 2.28x |
| Q4208 | Novafix, per square cenitmeter | 3.6K | $1.1M | $297.76 | 1.93x |
| Q4194 | Novachor, per square centimeter | 573 | $462.6K | $807.39 | 1.86x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 5.6K | $358.5K | $63.81 | 3.03x |
| Q4197 | Puraply xt, per square centimeter | 1.7K | $346.8K | $209.82 | 2.37x |
| Q4254 | Novafix dl, per square centimeter | 816 | $276.9K | $339.34 | 2.65x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 1.6K | $205.9K | $129.16 | 4.74x |
| 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 | 1.7K | $178.9K | $105.48 | 2.20x |
| Q4196 | Puraply am, per square centimeter | 1.8K | $156.6K | $88.79 | 2.34x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.8K | $152.7K | $54.97 | 2.31x |
| 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 | 839 | $94.5K | $112.58 | 2.47x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 740 | $80.5K | $108.82 | 2.26x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 3.0K | $78.1K | $26.06 | 2.34x |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 943 | $53.0K | $56.21 | 4.17x |
| 99284 | Emergency department visit, problem of high severity | 562 | $46.7K | $83.02 | 4.78x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 191 | $32.0K | $167.47 | 3.90x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 863 | $25.8K | $29.89 | 2.45x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | $21.2K | $70.52 | 2.75x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 268 | $20.4K | $76.24 | 4.83x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. This is higher 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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