This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Medicare payments to this provider grew 41669% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4307% in 2015
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 | $100.00 | $56.11 | 1.78x | $43.89 | $1.3K | 23 | 20 |
| 2015 | $143.18 | $57.01 | 2.51x | $86.17 | $56.9K | 962 | 578 |
| 2016 | $185.86 | $62.75 | 2.96x | $123.11 | $37.9K | 644 | 457 |
| 2017 | $206.14 | $58.27 | 3.54x | $147.87 | $317.5K | 5.1K | 2.8K |
| 2018 | $244.39 | $66.64 | 3.67x | $177.75 | $502.4K | 8.2K | 4.9K |
| 2019 | $231.38 | $64.92 | 3.56x | $166.46 | $601.3K | 9.6K | 6.5K |
| 2020 | $248.63 | $58.79 | 4.23x | $189.84 | $425.7K | 7.0K | 5.6K |
| 2021 | $262.97 | $63.47 | 4.14x | $199.50 | $445.8K | 6.7K | 5.0K |
| 2022 | $257.89 | $65.74 | 3.92x | $192.15 | $491.9K | 7.6K | 5.7K |
| 2023 | $288.40 | $68.97 | 4.18x | $219.43 | $539.0K | 8.0K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 9.9K | $997.4K | $101.02 | 2.96x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 13.4K | $723.2K | $53.85 | 3.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $443.2K | $58.79 | 3.36x |
| 17110 | Destruction of up to 14 skin growths | 4.4K | $339.4K | $76.46 | 3.78x |
| 17000 | Destruction of skin growth | 4.4K | $195.8K | $44.80 | 5.10x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $118.3K | $80.01 | 4.04x |
| 17111 | Destruction of 15 or more skin growths | 891 | $87.3K | $97.94 | 3.37x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 900 | $62.0K | $68.88 | 3.04x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 763 | $61.5K | $80.64 | 1.83x |
| 10060 | Drainage of abscess | 550 | $50.1K | $91.08 | 4.23x |
| 11102 | Tangential biopsy of single skin lesion | 784 | $49.9K | $63.63 | 4.13x |
| 17004 | Destruction of 15 or more skin growths | 374 | $45.8K | $122.42 | 4.29x |
| 67850 | Destruction of (up to 1 centimeter) growth of eyelid margin | 229 | $38.6K | $168.74 | 3.49x |
| 10040 | Acne surgery | 486 | $30.8K | $63.33 | 4.35x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 782 | $28.1K | $35.96 | 3.62x |
| 11100 | Biopsy of single growth of skin and/or tissue | 520 | $27.6K | $53.08 | 4.72x |
| 11900 | Injection of up to 7 skin growths | 709 | $21.1K | $29.77 | 5.39x |
| 17003 | Destruction of 2-14 skin growths | 3.1K | $14.8K | $4.78 | 5.62x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 140 | $12.4K | $88.64 | 3.33x |
| 11901 | Injection of more than 7 skin growths | 278 | $11.4K | $40.89 | 4.66x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. This is higher 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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