This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Medicare payments to this provider grew 80193% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1633% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $92.21 | $28.36 | 3.25x | $63.85 | $5.4K | 192 | 2 |
| 2016 | $46.38 | $13.27 | 3.50x | $33.11 | $597.31 | 45 | 2 |
| 2018 | $79.11 | $27.38 | 2.89x | $51.73 | $3.3K | 119 | 3 |
| 2019 | $60.80 | $19.65 | 3.09x | $41.15 | $15.3K | 777 | 10 |
| 2020 | $392.99 | $83.24 | 4.72x | $309.75 | $41.0K | 492 | 3 |
| 2021 | $52.37 | $21.69 | 2.41x | $30.68 | $54.7K | 2.5K | 18 |
| 2022 | $688.35 | $528.67 | 1.30x | $159.68 | $947.9K | 1.8K | 11 |
| 2023 | $1.0K | $764.11 | 1.31x | $240.08 | $4.4M | 5.7K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A2001 | Innovamatrix ac, per square centimeter | 3.0K | $2.5M | $831.26 | 1.31x |
| Q4262 | Dual layer impax membrane, per square centimeter | 1.7K | $1.8M | $1.1K | 1.28x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 1.2K | $928.4K | $754.81 | 1.28x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.0K | $47.2K | $46.35 | 2.43x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 276 | $30.1K | $109.01 | 4.44x |
| 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 | 295 | $27.8K | $94.39 | 2.23x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 310 | $25.3K | $81.70 | 1.85x |
| 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 | 167 | $16.6K | $99.68 | 2.51x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 167 | $13.2K | $79.29 | 2.32x |
| 99284 | Emergency department visit, problem of high severity | 185 | $12.5K | $67.80 | 4.81x |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 142 | $8.1K | $57.01 | 1.84x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 135 | $6.4K | $47.26 | 2.38x |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 298 | $4.9K | $16.45 | 3.10x |
| 87426 | Elisa detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 106 | $4.8K | $45.23 | 1.21x |
| 87804 | Detection test by immunoassay for influenza virus | 257 | $4.2K | $16.44 | 3.10x |
| 96372 | Injection of drug or substance under skin or into muscle | 414 | $3.6K | $8.64 | 5.27x |
| 99283 | Emergency department visit, moderately severe problem | 93 | $3.0K | $31.73 | 6.84x |
| 99343 | New patient home visit, typically 45 minutes | 34 | $2.7K | $79.16 | 2.26x |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 192 | $2.2K | $11.49 | 1.83x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 21 | $2.0K | $94.22 | 2.12x |
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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data