This provider's $16.7M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 35044% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4015% 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 | $119.16 | $33.52 | 3.55x | $85.64 | $26.8K | 800 | 9 |
| 2015 | $115.55 | $59.65 | 1.94x | $55.90 | $232.6K | 3.9K | 29 |
| 2016 | $121.55 | $68.32 | 1.78x | $53.23 | $620.9K | 9.1K | 23 |
| 2017 | $228.45 | $67.35 | 3.39x | $161.10 | $619.4K | 9.2K | 24 |
| 2018 | $131.32 | $83.47 | 1.57x | $47.85 | $1.1M | 13.3K | 35 |
| 2019 | $112.28 | $83.03 | 1.35x | $29.25 | $1.2M | 14.7K | 30 |
| 2020 | $99.65 | $74.39 | 1.34x | $25.26 | $675.0K | 9.1K | 30 |
| 2021 | $95.55 | $70.25 | 1.36x | $25.30 | $64.6K | 919 | 14 |
| 2022 | $452.03 | $301.86 | 1.50x | $150.17 | $2.7M | 8.8K | 21 |
| 2023 | $770.86 | $502.71 | 1.53x | $268.15 | $9.4M | 18.7K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 8.7K | $6.3M | $725.15 | 1.35x |
| Q4262 | Dual layer impax membrane, per square centimeter | 4.8K | $4.8M | $996.97 | 1.45x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 5.9K | $970.9K | $164.70 | 2.01x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 11.2K | $844.1K | $75.23 | 2.51x |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | 11.0K | $813.4K | $73.82 | 1.48x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 3.6K | $386.2K | $105.97 | 1.45x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 6.0K | $326.4K | $54.03 | 2.21x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 4.6K | $287.9K | $62.64 | 2.59x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 3.6K | $202.2K | $55.85 | 1.72x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 2.0K | $199.8K | $100.12 | 1.78x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 2.4K | $168.6K | $71.53 | 2.02x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 4.7K | $149.6K | $32.09 | 1.59x |
| 17250 | Application of chemical to stop tissue regrowth in wound | 3.9K | $144.1K | $36.92 | 3.57x |
| 99327 | New patient custodial care facility, group care, or assisted living visit, typically 1 hour | 920 | $131.2K | $142.56 | 1.36x |
| 99337 | Established patient custodial care facility, group care, or assisted living visit, typically 1 hour | 749 | $113.7K | $151.78 | 1.28x |
| 17000 | Destruction of precancer skin growth, 1 growth | 2.6K | $113.1K | $44.21 | 2.89x |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 819 | $68.9K | $84.15 | 1.28x |
| 11044 | Removal of bone, 20.0 sq cm or less | 280 | $64.9K | $231.82 | 1.31x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 395 | $51.0K | $129.19 | 2.10x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.2K | $43.7K | $35.02 | 2.18x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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.
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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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