Charged July 2025 in DOJ $14.6B healthcare fraud takedown. Conspiracy to commit healthcare fraud. $209M in unnecessary amniotic allografts procured through kickbacks and bribes. Part of $1B Arizona wound care scheme.
View DOJ source →This provider averages 125 services per working day
Based on 156.0K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $135.3M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 125 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 3696354% 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 1684333% 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 | $267.83 | $60.99 | 4.39x | $206.84 | $3.7K | 60 | 3 |
| 2020 | $140.56 | $27.28 | 5.15x | $113.28 | $19.0K | 695 | 11 |
| 2021 | $185.69 | $46.23 | 4.02x | $139.46 | $12.8K | 276 | 8 |
| 2022 | $201.61 | $48.37 | 4.17x | $153.24 | $8.0K | 166 | 4 |
| 2023 | $1.1K | $873.79 | 1.29x | $249.12 | $135.3M | 154.8K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 153.3K | $135.2M | $881.71 | 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 | 924 | $50.0K | $54.16 | 1.64x |
| 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 | 201 | $30.4K | $151.24 | 1.64x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 346 | $21.3K | $61.51 | 4.41x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 262 | $13.7K | $52.14 | 4.53x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 110 | $7.3K | $66.71 | 4.47x |
| 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 | 53 | $5.0K | $95.05 | 1.64x |
| 15278 | Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less | 80 | $5.0K | $62.57 | 1.62x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 109 | $2.1K | $19.31 | 9.06x |
| 99202 | New patient outpatient visit, total time 15-29 minutes | 36 | $1.9K | $53.84 | 4.38x |
| 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 |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 18 | $730.86 | $40.60 | 4.95x |
| 90694 | Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage | 11 | $671.00 | $61.00 | 1.64x |
| 96372 | Injection of drug or substance under skin or into muscle | 57 | $491.94 | $8.63 | 4.34x |
| 36415 | Insertion of needle into vein for collection of blood sample | 106 | $318.00 | $3.00 | 2.67x |
| 71046 | X-ray of chest, 2 views | 16 | $279.65 | $17.48 | 4.81x |
| 81002 | Urinalysis, manual test | 64 | $221.95 | $3.47 | 2.60x |
| 94640 | Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen | 15 | $126.83 | $8.46 | 5.45x |
| 81003 | Automated urinalysis test | 34 | $75.07 | $2.21 | 3.17x |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 25 | $9.81 | $0.39 | 3.31x |
This provider submits charges 1.29 times higher than what Medicare actually pays.
A markup ratio of 1.29x means for every $100 Medicare pays, this provider initially charges $129. 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 |
|---|---|---|---|
| Jorge Kinds, FNP | Phoenix, AZ | $123.9M | ✓ Clear |
| Carlos Ching, FNP | Phoenix, AZ | $62.9M | ✓ Clear |
| Bethany Jameson, FNP | Gilbert, AZ | $49.9M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data