This provider's $3.8M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 147% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $397.40 | $95.55 | 4.16x | $301.85 | $305.6K | 3.9K | 1.1K |
| 2015 | $382.63 | $86.83 | 4.41x | $295.80 | $390.6K | 4.8K | 939 |
| 2016 | $271.41 | $81.78 | 3.32x | $189.63 | $353.3K | 4.6K | 794 |
| 2017 | $227.57 | $67.79 | 3.36x | $159.78 | $399.1K | 5.6K | 1.2K |
| 2018 | $191.39 | $71.67 | 2.67x | $119.72 | $577.7K | 7.3K | 1.6K |
| 2019 | $193.47 | $76.72 | 2.52x | $116.75 | $330.7K | 4.7K | 1.1K |
| 2020 | $210.96 | $88.92 | 2.37x | $122.04 | $352.7K | 4.9K | 1.3K |
| 2021 | $237.36 | $88.63 | 2.68x | $148.73 | $308.1K | 4.7K | 1.5K |
| 2022 | $248.04 | $89.31 | 2.78x | $158.73 | $211.7K | 3.0K | 1.3K |
| 2023 | $256.21 | $117.11 | 2.19x | $139.10 | $523.3K | 4.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 16.5K | $1.3M | $76.39 | 2.99x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 11.8K | $691.5K | $58.71 | 2.70x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 4.1K | $613.9K | $149.44 | 3.34x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 4.1K | $300.6K | $73.12 | 3.03x |
| Q4188 | Amnioarmor, per square centimeter | 182 | $135.6K | $744.80 | 1.28x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.3K | $135.0K | $106.70 | 2.92x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 1.6K | $113.6K | $70.39 | 2.66x |
| 17250 | Application of chemical agent to excessive wound tissue | 2.6K | $95.9K | $37.24 | 4.15x |
| 11046 | Removal of skin and/or muscle | 1.6K | $83.0K | $50.72 | 3.17x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 562 | $79.9K | $142.25 | 3.02x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.8K | $65.9K | $35.90 | 3.03x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 675 | $44.1K | $65.40 | 2.29x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 177 | $41.1K | $232.44 | 2.98x |
| 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 | 201 | $27.6K | $137.55 | 2.25x |
| 43762 | Replacement of stomach stoma tube accessed through skin | 157 | $18.1K | $115.29 | 4.04x |
| 11045 | Removal of skin and tissue | 459 | $11.5K | $24.99 | 2.80x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 95 | $10.6K | $111.86 | 3.72x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 117 | $7.7K | $65.75 | 2.13x |
| 11047 | Removal of skin and bone | 81 | $6.8K | $83.75 | 2.89x |
| 10060 | Drainage of abscess | 57 | $4.4K | $77.88 | 3.88x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. This is higher 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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