This provider averages 55 services per working day
Based on 96.5K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $29.3M in total Medicare payments ranks in the 99th percentile of Geriatric Medicine providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 51138% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1001% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $256.03 | $98.71 | 2.59x | $157.32 | $39.8K | 403 | 5 |
| 2018 | $255.36 | $104.09 | 2.45x | $151.27 | $438.1K | 4.2K | 13 |
| 2019 | $238.84 | $95.77 | 2.49x | $143.07 | $571.1K | 6.0K | 12 |
| 2020 | $215.72 | $83.21 | 2.59x | $132.51 | $568.6K | 6.8K | 27 |
| 2021 | $250.34 | $90.25 | 2.77x | $160.09 | $1.2M | 12.9K | 34 |
| 2022 | $422.07 | $213.96 | 1.97x | $208.11 | $6.1M | 28.7K | 44 |
| 2023 | $856.77 | $543.26 | 1.58x | $313.51 | $20.4M | 37.5K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 12.8K | $12.4M | $967.12 | 1.38x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 5.5K | $4.1M | $741.70 | 1.28x |
| Q4188 | Amnioarmor, per square centimeter | 4.8K | $3.1M | $632.48 | 1.28x |
| Q4158 | Kerecis omega3, per square centimeter | 5.6K | $2.6M | $469.32 | 1.27x |
| 97610 | Therapy procedure using ultrasound | 3.2K | $1.3M | $390.89 | 4.22x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 8.1K | $850.8K | $104.95 | 3.81x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 7.0K | $614.8K | $88.18 | 2.55x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 3.2K | $601.2K | $187.69 | 2.72x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 9.4K | $534.1K | $56.55 | 2.33x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 7.9K | $483.6K | $61.60 | 2.60x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 1.8K | $303.4K | $165.42 | 2.66x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2.8K | $215.6K | $77.51 | 3.15x |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0K | $184.9K | $91.64 | 2.62x |
| 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 | 1.5K | $179.9K | $123.68 | 3.61x |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 1.6K | $179.4K | $113.96 | 2.63x |
| 11044 | Removal of bone, 20.0 sq cm or less | 557 | $150.3K | $269.84 | 2.58x |
| 99306 | Initial nursing facility visit per day, typically 45 minutes | 1.0K | $141.7K | $139.16 | 2.52x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 725 | $135.1K | $186.30 | 2.47x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 1.4K | $123.6K | $90.90 | 2.91x |
| 99497 | Advance care planning, first 30 minutes | 1.6K | $108.5K | $66.96 | 1.87x |
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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