This provider averages 60 services per working day
Based on 45.2K total services over 3 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.7M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1709% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 491% 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 |
|---|---|---|---|---|---|---|---|
| 2021 | $120.48 | $70.43 | 1.71x | $50.05 | $468.7K | 6.7K | 19 |
| 2022 | $258.91 | $173.05 | 1.50x | $85.86 | $2.8M | 16.0K | 27 |
| 2023 | $543.34 | $375.64 | 1.45x | $167.70 | $8.5M | 22.6K | 26 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 6.0K | $5.8M | $962.00 | 1.40x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 4.8K | $3.7M | $767.07 | 1.30x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 5.6K | $793.4K | $140.68 | 1.72x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 5.7K | $277.0K | $48.98 | 2.61x |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | 3.6K | $229.5K | $62.88 | 1.55x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 3.7K | $166.8K | $45.00 | 1.74x |
| 17250 | Application of chemical to stop tissue regrowth in wound | 3.9K | $132.0K | $34.10 | 2.54x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 2.5K | $122.9K | $49.58 | 1.74x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1.8K | $81.8K | $46.24 | 1.53x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 924 | $76.4K | $82.67 | 1.60x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 594 | $52.6K | $88.54 | 1.56x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 1.8K | $41.9K | $22.78 | 1.91x |
| 99327 | New patient custodial care facility, group care, or assisted living visit, typically 1 hour | 347 | $41.8K | $120.50 | 1.57x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 545 | $34.3K | $62.96 | 1.48x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 321 | $29.3K | $91.27 | 2.06x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 339 | $28.6K | $84.42 | 1.57x |
| 11044 | Removal of bone, 20.0 sq cm or less | 150 | $26.6K | $177.40 | 1.85x |
| 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 | 416 | $24.2K | $58.21 | 7.62x |
| 17000 | Destruction of precancer skin growth, 1 growth | 701 | $22.2K | $31.65 | 2.09x |
| 99337 | Established patient custodial care facility, group care, or assisted living visit, typically 1 hour | 135 | $17.3K | $128.03 | 1.56x |
This provider submits charges 1.47 times higher than what Medicare actually pays.
A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data