This provider averages 54 services per working day
Based on 135.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $26.8M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1341% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 474% 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 | $206.56 | $74.41 | 2.78x | $132.15 | $678.9K | 9.1K | 21 |
| 2015 | $230.80 | $82.95 | 2.78x | $147.85 | $835.7K | 10.1K | 22 |
| 2016 | $270.80 | $91.81 | 2.95x | $178.99 | $1.0M | 11.4K | 25 |
| 2017 | $237.09 | $91.46 | 2.59x | $145.63 | $1.1M | 12.1K | 19 |
| 2018 | $163.17 | $56.21 | 2.90x | $106.96 | $1.5M | 26.9K | 18 |
| 2019 | $203.05 | $95.28 | 2.13x | $107.77 | $932.3K | 9.8K | 18 |
| 2020 | $219.35 | $96.14 | 2.28x | $123.21 | $1.1M | 11.6K | 19 |
| 2021 | $339.81 | $162.56 | 2.09x | $177.25 | $1.5M | 8.9K | 19 |
| 2022 | $642.53 | $470.32 | 1.37x | $172.21 | $8.3M | 17.7K | 26 |
| 2023 | $775.40 | $556.07 | 1.39x | $219.33 | $9.8M | 17.6K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 7.8K | $5.8M | $745.33 | 1.27x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 3.8K | $4.1M | $1.1K | 1.28x |
| Q4221 | Amniowrap2, per square centimeter | 3.4K | $3.3M | $990.66 | 1.28x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 51.6K | $2.8M | $54.87 | 2.58x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 3.6K | $2.6M | $738.99 | 1.28x |
| Q4158 | Kerecis omega3, per square centimeter | 8.6K | $1.2M | $140.88 | 2.23x |
| Q4131 | Epifix or epicord, per square centimeter | 7.7K | $1.1M | $138.30 | 2.92x |
| Q4173 | Palingen or palingen xplus, per square centimeter | 5.8K | $768.6K | $132.13 | 2.01x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 3.7K | $567.1K | $151.30 | 3.31x |
| Q4184 | Cellesta or cellesta duo, per square centimeter | 2.1K | $469.7K | $226.58 | 1.33x |
| Q4185 | Cellesta flowable amnion (25 mg per cc); per 0.5 cc | 408 | $451.7K | $1.1K | 1.34x |
| Q4204 | Xwrap, per square centimeter | 298 | $327.1K | $1.1K | 1.28x |
| 11044 | Removal of bone, 20.0 sq cm or less | 1.6K | $321.1K | $203.90 | 3.31x |
| 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 | 2.5K | $289.7K | $114.77 | 2.82x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 4.4K | $289.5K | $66.11 | 2.71x |
| Q4262 | Dual layer impax membrane, per square centimeter | 270 | $285.8K | $1.1K | 1.28x |
| Q4174 | Palingen or promatrx, 0.36 mg per 0.25 cc | 434 | $273.5K | $630.14 | 2.86x |
| Q4250 | Amnioamp-mp, per square centimeter | 176 | $227.7K | $1.3K | 1.28x |
| Q4145 | Epifix, injectable, 1 mg | 12.5K | $198.4K | $15.82 | 4.95x |
| Q4226 | Myown skin, includes harvesting and preparation procedures, per square centimeter | 248 | $168.9K | $680.94 | 1.76x |
This provider submits charges 1.76 times higher than what Medicare actually pays.
A markup ratio of 1.76x means for every $100 Medicare pays, this provider initially charges $176. 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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