This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Medicare payments to this provider grew 87896% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 239969% in 2023
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 | $220.20 | $70.00 | 3.15x | $150.20 | $5.3K | 76 | 3 |
| 2015 | $786.29 | $87.49 | 8.99x | $698.80 | $6.0K | 69 | 3 |
| 2016 | $380.68 | $64.03 | 5.95x | $316.65 | $32.1K | 501 | 9 |
| 2017 | $110.64 | $45.02 | 2.46x | $65.62 | $1.9K | 42 | 1 |
| 2018 | $94.35 | $24.38 | 3.87x | $69.97 | $2.0K | 80 | 2 |
| 2023 | $835.34 | $645.02 | 1.30x | $190.32 | $4.7M | 7.3K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 4.2K | $2.4M | $570.85 | 1.28x |
| Q4262 | Dual layer impax membrane, per square centimeter | 2.4K | $2.2M | $926.35 | 1.28x |
| 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 | 164 | $15.3K | $93.37 | 3.32x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 176 | $14.0K | $79.72 | 3.14x |
| 99285 | Emergency department visit, problem with significant threat to life or function | 104 | $11.9K | $114.72 | 9.58x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 173 | $8.2K | $47.64 | 3.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 91 | $7.8K | $85.26 | 3.18x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 131 | $6.4K | $48.98 | 3.12x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 63 | $6.4K | $101.18 | 3.16x |
| 99284 | Emergency department visit, problem of high severity | 63 | $4.4K | $69.22 | 10.83x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 79 | $4.3K | $54.94 | 2.84x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 37 | $4.1K | $111.20 | 2.90x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 104 | $3.7K | $35.42 | 3.11x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 32 | $2.3K | $72.77 | 2.93x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 42 | $1.9K | $46.20 | 3.03x |
| 99283 | Emergency department visit, moderately severe problem | 42 | $1.7K | $40.64 | 11.88x |
| 93922 | Ultrasound study of arm and leg arteries | 17 | $873.29 | $51.37 | 3.21x |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 12 | $628.44 | $52.37 | 3.06x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 30 | $331.75 | $11.06 | 4.02x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 55 | $302.94 | $5.51 | 11.80x |
This provider submits charges 1.34 times higher than what Medicare actually pays.
A markup ratio of 1.34x means for every $100 Medicare pays, this provider initially charges $134. 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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