This provider's $11.8M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 4226% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 10131% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $129.87 | $79.61 | 1.63x | $50.26 | $245.0K | 3.1K | 6 |
| 2015 | $130.50 | $78.35 | 1.67x | $52.15 | $274.0K | 3.5K | 5 |
| 2016 | $128.89 | $73.22 | 1.76x | $55.67 | $244.7K | 3.3K | 7 |
| 2017 | $142.64 | $75.51 | 1.89x | $67.13 | $105.8K | 1.4K | 4 |
| 2018 | $159.91 | $84.99 | 1.88x | $74.92 | $43.9K | 516 | 6 |
| 2019 | $150.15 | $76.85 | 1.95x | $73.30 | $97.7K | 1.3K | 7 |
| 2020 | $134.52 | $64.77 | 2.08x | $69.75 | $55.2K | 853 | 7 |
| 2022 | $111.04 | $37.48 | 2.96x | $73.56 | $103.6K | 2.8K | 11 |
| 2023 | $1.0K | $685.79 | 1.52x | $356.66 | $10.6M | 15.5K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 3.9K | $4.5M | $1.1K | 1.44x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 4.1K | $4.4M | $1.1K | 1.51x |
| Q4169 | Artacent wound, per square centimeter | 4.9K | $1.5M | $303.08 | 1.65x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.9K | $498.8K | $63.35 | 1.82x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.9K | $357.2K | $125.17 | 1.64x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.0K | $97.9K | $97.46 | 1.80x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 1.5K | $72.5K | $49.84 | 1.83x |
| 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 | 409 | $49.5K | $121.12 | 2.89x |
| 77002 | Fluoroscopic guidance for needle placement | 484 | $44.8K | $92.47 | 2.62x |
| 0598T | Fluorescence wound imaging for bacteria, first anatomic site | 320 | $37.4K | $117.02 | 2.14x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 389 | $26.8K | $68.82 | 2.62x |
| 20610 | Aspiration and/or injection of fluid from large joint | 484 | $24.8K | $51.26 | 2.93x |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 400 | $23.6K | $59.01 | 2.14x |
| 27369 | Injection of contrast for imaging of knee joint | 108 | $15.6K | $144.32 | 2.38x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 440 | $14.0K | $31.75 | 2.00x |
| 73580 | Review by radiologist of knee joint image | 108 | $11.6K | $107.56 | 1.45x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 109 | $11.0K | $100.98 | 1.76x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 227 | $10.0K | $44.27 | 2.48x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 1.5K | $9.9K | $6.49 | 5.48x |
| 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 | 61 | $7.5K | $123.35 | 4.05x |
This provider submits charges 1.55 times higher than what Medicare actually pays.
A markup ratio of 1.55x means for every $100 Medicare pays, this provider initially charges $155. 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 Family Practice providers in GA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kristi Hunter, M.D. | Sylvania, GA | $38.3M | ✓ 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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