This provider's $4.1M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 340% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 232% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $192.15 | $136.70 | 1.41x | $55.45 | $215.4K | 1.4K | 512 |
| 2018 | $234.22 | $137.38 | 1.70x | $96.84 | $715.5K | 4.7K | 1.4K |
| 2019 | $292.86 | $160.39 | 1.83x | $132.47 | $583.7K | 3.9K | 738 |
| 2020 | $316.70 | $178.25 | 1.78x | $138.45 | $581.1K | 3.9K | 765 |
| 2021 | $277.41 | $143.40 | 1.93x | $134.01 | $612.6K | 4.3K | 879 |
| 2022 | $310.54 | $162.59 | 1.91x | $147.95 | $464.5K | 3.4K | 647 |
| 2023 | $309.98 | $132.87 | 2.33x | $177.11 | $947.0K | 6.7K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 11.8K | $2.3M | $197.74 | 1.75x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 9.1K | $909.4K | $99.56 | 1.90x |
| 49450 | Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin | 621 | $361.9K | $582.72 | 1.65x |
| 11046 | Removal of skin and/or muscle | 3.1K | $197.4K | $63.05 | 2.23x |
| 97610 | Therapy procedure using ultrasound | 315 | $130.6K | $414.61 | 2.28x |
| 11045 | Removal of skin and tissue | 1.2K | $40.8K | $35.41 | 3.35x |
| 99348 | Established patient home visit, typically 25 minutes | 626 | $39.9K | $63.76 | 2.16x |
| 17250 | Application of chemical agent to excessive wound tissue | 624 | $25.9K | $41.53 | 3.60x |
| 11044 | Removal of bone, 20.0 sq cm or less | 92 | $24.5K | $266.02 | 1.62x |
| 93922 | Ultrasound study of arteries of both arms and legs | 244 | $19.1K | $78.35 | 1.91x |
| 99343 | New patient home visit, typically 45 minutes | 155 | $16.1K | $103.75 | 1.70x |
| 99344 | New patient home visit, typically 60 minutes | 52 | $7.8K | $149.91 | 1.33x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 122 | $7.1K | $58.52 | 1.71x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 116 | $6.8K | $58.55 | 4.14x |
| 99347 | Established patient home visit, typically 15 minutes | 73 | $3.0K | $40.84 | 2.06x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 14 | $1.6K | $112.12 | 2.71x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 20 | $673.35 | $33.67 | 4.46x |
This provider submits charges 1.85 times higher than what Medicare actually pays.
A markup ratio of 1.85x means for every $100 Medicare pays, this provider initially charges $185. 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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