This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
78% of their billing comes from a single procedure code (Q4217 — Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter).
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 |
|---|---|---|---|---|---|---|---|
| 2023 | $1.2K | $869.29 | 1.36x | $312.65 | $6.4M | 7.4K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 4.4K | $5.0M | $1.1K | 1.31x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 970 | $1.1M | $1.2K | 1.28x |
| 97610 | Therapy procedure using ultrasound | 777 | $220.7K | $283.99 | 2.18x |
| 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 | 213 | $21.8K | $102.37 | 3.42x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 216 | $18.4K | $85.36 | 2.34x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 260 | $13.2K | $50.83 | 2.56x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 90 | $11.2K | $124.99 | 2.24x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 71 | $7.5K | $105.36 | 3.70x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 191 | $5.7K | $29.71 | 3.15x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 48 | $4.6K | $96.56 | 2.90x |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 18 | $2.4K | $135.33 | 2.55x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 43 | $2.2K | $52.01 | 2.69x |
| 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 | 78 | $1.3K | $16.23 | 6.16x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 16 | $1.2K | $76.75 | 4.63x |
This provider submits charges 1.36 times higher than what Medicare actually pays.
A markup ratio of 1.36x means for every $100 Medicare pays, this provider initially charges $136. 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 |
|---|---|---|---|
| Ira Denny, APRN-FNP | Surprise, AZ | $135.3M | ✓ Clear |
| Jorge Kinds, FNP | Phoenix, AZ | $123.9M | ✓ Clear |
| Carlos Ching, FNP | Phoenix, AZ | $62.9M | ✓ Clear |
| Bethany Jameson, FNP | Gilbert, AZ | $49.9M | ✓ Clear |
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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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