This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Medicare payments to this provider grew 1718% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 106% in 2016
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 | $725.00 | $183.97 | 3.94x | $541.03 | $109.0K | 561 | 92 |
| 2015 | $317.02 | $95.98 | 3.30x | $221.04 | $103.6K | 956 | 556 |
| 2016 | $237.44 | $77.19 | 3.08x | $160.25 | $213.5K | 4.1K | 1.5K |
| 2017 | $179.18 | $48.66 | 3.68x | $130.52 | $317.5K | 6.4K | 1.6K |
| 2018 | $195.83 | $57.14 | 3.43x | $138.69 | $350.2K | 7.3K | 1.5K |
| 2019 | $204.12 | $57.20 | 3.57x | $146.92 | $549.6K | 11.2K | 2.1K |
| 2020 | $179.24 | $83.32 | 2.15x | $95.92 | $476.0K | 6.4K | 2.0K |
| 2021 | $180.80 | $79.49 | 2.27x | $101.31 | $973.1K | 14.9K | 4.1K |
| 2022 | $169.97 | $74.54 | 2.28x | $95.43 | $1.4M | 21.2K | 4.9K |
| 2023 | $210.49 | $77.09 | 2.73x | $133.40 | $2.0M | 29.8K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 56.3K | $2.8M | $49.98 | 3.31x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 22.9K | $1.6M | $70.13 | 2.02x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 5.5K | $559.6K | $101.19 | 1.62x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 5.8K | $544.2K | $93.17 | 3.04x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.0K | $258.2K | $52.15 | 3.23x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 819 | $161.9K | $197.65 | 3.90x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.2K | $142.6K | $123.50 | 2.02x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 866 | $59.4K | $68.65 | 1.90x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 1.1K | $58.8K | $54.35 | 2.30x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 1.4K | $56.2K | $40.93 | 2.44x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 456 | $44.8K | $98.28 | 1.48x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 143 | $24.2K | $168.98 | 3.34x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 227 | $20.7K | $91.00 | 1.65x |
| 99238 | Hospital discharge day management, 30 minutes or less | 346 | $18.3K | $52.92 | 3.93x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 155 | $15.5K | $99.86 | 2.54x |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 318 | $11.3K | $35.46 | 3.78x |
| 90792 | Psychiatric diagnostic evaluation with medical services | 93 | $10.9K | $117.06 | 3.84x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | $7.9K | $87.99 | 1.70x |
| 99326 | New patient assisted living visit, typically 45 minutes | 43 | $4.4K | $102.03 | 2.45x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 83 | $2.7K | $31.94 | 4.70x |
This provider submits charges 2.75 times higher than what Medicare actually pays.
A markup ratio of 2.75x means for every $100 Medicare pays, this provider initially charges $275. This is higher 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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