This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Medicare payments to this provider grew 27082% from 2014 to 2023.
98% of their billing comes from a single procedure code (Q4253 — Zenith amniotic membrane, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 122500% 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 | $472.44 | $79.73 | 5.93x | $392.71 | $17.1K | 214 | 3 |
| 2015 | $517.66 | $81.87 | 6.32x | $435.79 | $10.1K | 123 | 3 |
| 2016 | $472.59 | $82.18 | 5.75x | $390.41 | $15.0K | 182 | 3 |
| 2017 | $497.90 | $87.40 | 5.70x | $410.50 | $17.4K | 199 | 3 |
| 2018 | $503.04 | $82.42 | 6.10x | $420.62 | $12.9K | 157 | 3 |
| 2019 | $489.65 | $78.53 | 6.24x | $411.12 | $11.5K | 146 | 3 |
| 2020 | $739.17 | $85.70 | 8.63x | $653.47 | $9.6K | 112 | 3 |
| 2021 | $951.44 | $89.81 | 10.59x | $861.63 | $8.1K | 90 | 3 |
| 2022 | $874.80 | $77.21 | 11.33x | $797.59 | $3.8K | 49 | 3 |
| 2023 | $563.91 | $437.51 | 1.29x | $126.40 | $4.6M | 10.6K | 2 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 10.4K | $4.6M | $443.78 | 1.29x |
| 99285 | Emergency department visit for life threatening or functioning severity | 561 | $63.6K | $113.36 | 6.51x |
| 99284 | Emergency department visit for problem of high severity | 402 | $29.6K | $73.56 | 6.93x |
| 99283 | Emergency department visit for problem of moderate severity | 309 | $12.2K | $39.43 | 7.64x |
| 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 | 65 | $6.7K | $103.76 | 1.74x |
| 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 | 104 | $1.8K | $16.89 | 1.85x |
This provider submits charges 1.41 times higher than what Medicare actually pays.
A markup ratio of 1.41x means for every $100 Medicare pays, this provider initially charges $141. This is lower 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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