This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Medicare payments to this provider grew 73417% from 2020 to 2023.
99% 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 45308% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $144.91 | $27.40 | 5.29x | $117.51 | $9.4K | 344 | 7 |
| 2021 | $226.77 | $58.05 | 3.91x | $168.72 | $9.1K | 156 | 4 |
| 2022 | $208.45 | $54.30 | 3.84x | $154.15 | $15.3K | 281 | 6 |
| 2023 | $974.71 | $760.22 | 1.28x | $214.49 | $6.9M | 9.1K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 8.8K | $6.9M | $788.95 | 1.28x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 302 | $20.4K | $67.57 | 4.01x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 298 | $16.3K | $54.65 | 4.32x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | $5.4K | $83.83 | 3.55x |
| 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 | 57 | $3.1K | $54.16 | 1.64x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 118 | $2.3K | $19.25 | 9.09x |
| 99202 | New patient outpatient visit, total time 15-29 minutes | 25 | $1.5K | $58.26 | 4.05x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | $1.1K | $36.59 | 5.53x |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 26 | $424.64 | $16.33 | 2.57x |
| 36415 | Insertion of needle into vein for collection of blood sample | 101 | $303.00 | $3.00 | 2.67x |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 11 | $178.20 | $16.20 | 2.59x |
| 81003 | Automated urinalysis test | 68 | $150.18 | $2.21 | 3.17x |
| 81002 | Urinalysis, manual test | 36 | $125.14 | $3.48 | 2.59x |
This provider submits charges 1.3 times higher than what Medicare actually pays.
A markup ratio of 1.3x means for every $100 Medicare pays, this provider initially charges $130. 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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