This provider averages 53 services per working day
Based on 133.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.4M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $121.03 | $74.26 | 1.63x | $46.77 | $898.5K | 13.6K | 4.6K |
| 2015 | $121.69 | $74.24 | 1.64x | $47.45 | $1.1M | 15.0K | 5.0K |
| 2016 | $124.73 | $74.22 | 1.68x | $50.51 | $953.4K | 13.1K | 4.7K |
| 2017 | $238.02 | $70.46 | 3.38x | $167.56 | $913.7K | 12.5K | 4.5K |
| 2018 | $254.65 | $73.92 | 3.44x | $180.73 | $982.8K | 12.7K | 4.5K |
| 2019 | $249.72 | $72.31 | 3.45x | $177.41 | $1.1M | 13.7K | 4.3K |
| 2020 | $310.58 | $88.05 | 3.53x | $222.53 | $1.1M | 14.0K | 4.1K |
| 2021 | $292.86 | $78.69 | 3.72x | $214.17 | $1.3M | 14.8K | 4.0K |
| 2022 | $309.61 | $84.16 | 3.68x | $225.45 | $1.1M | 12.2K | 3.7K |
| 2023 | $318.43 | $90.57 | 3.52x | $227.86 | $1.1M | 12.1K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 25.7K | $4.0M | $153.70 | 3.45x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 37.4K | $2.3M | $61.27 | 4.22x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 26.9K | $1.5M | $54.54 | 2.55x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 17.0K | $1.2M | $72.17 | 2.41x |
| 17250 | Application of chemical agent to excessive wound tissue | 10.1K | $348.1K | $34.42 | 5.47x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.5K | $258.6K | $102.62 | 2.62x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 3.0K | $208.9K | $70.52 | 2.44x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 6.0K | $205.8K | $34.30 | 1.98x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.3K | $176.8K | $131.55 | 2.47x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 1.2K | $122.5K | $105.32 | 2.12x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 389 | $82.5K | $212.06 | 3.74x |
| 11046 | Removal of skin and/or muscle | 654 | $30.8K | $47.11 | 3.07x |
| 97597 | Removal of tissue from wounds per session | 296 | $23.3K | $78.65 | 2.92x |
| 11045 | Removal of skin and tissue | 646 | $16.2K | $25.15 | 2.80x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 217 | $10.5K | $48.20 | 2.92x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 91 | $5.6K | $61.33 | 2.91x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 48 | $4.9K | $102.77 | 2.91x |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 69 | $4.0K | $57.76 | 3.19x |
This provider submits charges 3.33 times higher than what Medicare actually pays.
A markup ratio of 3.33x means for every $100 Medicare pays, this provider initially charges $333. 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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