This provider's $6.4M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 2013% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 325% in 2015
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 | $135.59 | $86.37 | 1.57x | $49.22 | $120.6K | 1.5K | 746 |
| 2015 | $123.06 | $75.02 | 1.64x | $48.04 | $512.5K | 6.5K | 2.6K |
| 2016 | $133.97 | $81.50 | 1.64x | $52.47 | $332.8K | 4.3K | 1.7K |
| 2017 | $266.29 | $86.34 | 3.08x | $179.95 | $224.6K | 2.8K | 1.4K |
| 2018 | $273.28 | $81.27 | 3.36x | $192.01 | $347.0K | 3.9K | 1.9K |
| 2019 | $273.46 | $82.56 | 3.31x | $190.90 | $343.2K | 3.8K | 1.8K |
| 2020 | $324.72 | $94.40 | 3.44x | $230.32 | $682.8K | 8.1K | 2.2K |
| 2021 | $333.17 | $92.62 | 3.60x | $240.55 | $503.1K | 5.9K | 2.0K |
| 2022 | $234.28 | $81.10 | 2.89x | $153.18 | $741.1K | 10.0K | 1.8K |
| 2023 | $219.80 | $87.21 | 2.52x | $132.59 | $2.5M | 33.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 16.1K | $2.6M | $160.58 | 2.54x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 18.2K | $980.8K | $53.77 | 4.22x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 16.3K | $918.9K | $56.44 | 2.57x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 4.4K | $506.6K | $115.91 | 2.27x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 5.8K | $429.1K | $73.87 | 2.35x |
| 17250 | Application of chemical agent to excessive wound tissue | 12.3K | $340.1K | $27.55 | 7.23x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.7K | $228.1K | $133.87 | 2.16x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 3.3K | $115.0K | $35.07 | 2.51x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 940 | $97.4K | $103.63 | 2.40x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 397 | $92.3K | $232.47 | 3.42x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 639 | $45.9K | $71.88 | 2.74x |
| 11046 | Removal of skin and/or muscle | 237 | $13.0K | $54.65 | 2.33x |
| 11045 | Removal of skin and tissue | 116 | $3.6K | $30.85 | 1.57x |
| 97597 | Removal of tissue from wounds per session | 21 | $1.3K | $60.09 | 1.74x |
| 11100 | Biopsy of single growth of skin and/or tissue | 13 | $1.1K | $80.79 | 1.72x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. This is higher 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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