This provider's $9.0M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 4794% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 323% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $262.68 | $79.57 | 3.30x | $183.11 | $94.8K | 1.2K | 11 |
| 2018 | $274.26 | $71.20 | 3.85x | $203.06 | $373.5K | 5.2K | 19 |
| 2019 | $306.39 | $89.44 | 3.43x | $216.95 | $774.5K | 8.7K | 15 |
| 2020 | $341.06 | $88.78 | 3.84x | $252.28 | $759.0K | 8.5K | 25 |
| 2021 | $366.25 | $90.37 | 4.05x | $275.88 | $1.2M | 13.4K | 30 |
| 2022 | $369.83 | $94.76 | 3.90x | $275.07 | $1.1M | 11.6K | 27 |
| 2023 | $863.86 | $320.65 | 2.69x | $543.21 | $4.6M | 14.5K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 2.3K | $2.5M | $1.1K | 2.31x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 10.5K | $1.6M | $155.22 | 3.79x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 15.4K | $1.1M | $70.15 | 4.66x |
| Q4281 | Barrera sl or barrera dl, per square centimeter | 524 | $655.9K | $1.3K | 2.55x |
| 11044 | Removal of bone, 20.0 sq cm or less | 2.7K | $637.9K | $232.62 | 3.40x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 7.3K | $539.7K | $73.86 | 2.99x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 8.7K | $487.9K | $55.79 | 3.00x |
| 97607 | Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less | 1.1K | $332.5K | $307.62 | 3.28x |
| Q4236 | Carepatch, per square centimeter | 276 | $281.5K | $1.0K | 2.42x |
| 17250 | Application of chemical to stop tissue regrowth in wound | 6.0K | $190.9K | $31.82 | 7.15x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 794 | $81.2K | $102.28 | 2.99x |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 617 | $80.3K | $130.21 | 3.01x |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 619 | $68.8K | $111.14 | 2.97x |
| 11047 | Removal of bone, each additional 20.0 sq cm or less | 733 | $66.8K | $91.11 | 3.49x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 1.1K | $58.7K | $53.38 | 3.54x |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 669 | $46.7K | $69.79 | 2.98x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 1.2K | $40.9K | $33.94 | 3.02x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 1.4K | $40.2K | $29.44 | 3.55x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 435 | $35.9K | $82.51 | 2.96x |
| 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 | 232 | $25.3K | $108.97 | 3.70x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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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