This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
99% 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 | $928.09 | 1.34x | $311.19 | $4.1M | 4.4K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 4.0K | $4.1M | $1.0K | 1.32x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 129 | $15.9K | $123.25 | 2.21x |
| 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 | 72 | $7.5K | $103.83 | 2.99x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 109 | $5.5K | $50.80 | 2.49x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 41 | $3.3K | $81.59 | 2.45x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 18 | $2.7K | $147.78 | 2.41x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 29 | $2.5K | $84.93 | 2.43x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 19 | $1.3K | $67.37 | 1.89x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 12 | $1.1K | $87.72 | 3.15x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 17 | $883.15 | $51.95 | 2.34x |
This provider submits charges 1.34 times higher than what Medicare actually pays.
A markup ratio of 1.34x means for every $100 Medicare pays, this provider initially charges $134. 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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