Charged July 2025 in same Arizona $1B wound care fraud scheme.
View DOJ source →⚠️ This provider averages 276 services per working day — physically unusual for an individual practitioner
Based on 69.1K total services over 1 year (250 working days/year). Learn about impossible service volumes →
This provider's $62.9M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 276 services per working day raises questions about billing patterns.
100% 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.
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 | $910.61 | 1.28x | $257.52 | $62.9M | 69.1K | 4 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 68.3K | $62.9M | $920.61 | 1.28x |
| 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 | 414 | $22.3K | $53.90 | 1.65x |
| 15273 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 125 | $20.2K | $161.80 | 1.66x |
| 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 | 97 | $9.7K | $99.85 | 1.65x |
| 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 | 175 | $2.8K | $15.84 | 1.64x |
This provider submits charges 1.28 times higher than what Medicare actually pays.
A markup ratio of 1.28x means for every $100 Medicare pays, this provider initially charges $128. 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 |
| 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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