This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
78% of their billing comes from a single procedure code (Q4281 — Barrera sl or barrera dl, 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 | $1.1K | $881.18 | 1.30x | $265.81 | $3.5M | 3.9K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4281 | Barrera sl or barrera dl, per square centimeter | 2.2K | $2.7M | $1.2K | 1.28x |
| Q4188 | Amnioarmor, per square centimeter | 918 | $683.7K | $744.80 | 1.28x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 250 | $24.1K | $96.36 | 2.59x |
| 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 | 201 | $22.9K | $114.00 | 2.72x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 250 | $13.4K | $53.73 | 2.79x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 47 | $2.6K | $54.46 | 2.57x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 27 | $934.60 | $34.61 | 3.18x |
This provider submits charges 1.3 times higher than what Medicare actually pays.
A markup ratio of 1.3x means for every $100 Medicare pays, this provider initially charges $130. This is lower 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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