This provider's $32.9M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 134622% from 2014 to 2023.
63% of their billing comes from a single procedure code (Q4262 — Dual layer impax membrane, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2990% in 2020
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 | $210.90 | $77.46 | 2.72x | $133.44 | $20.1K | 260 | 8 |
| 2015 | $210.42 | $81.20 | 2.59x | $129.22 | $48.8K | 601 | 7 |
| 2016 | $201.95 | $74.94 | 2.69x | $127.01 | $39.7K | 530 | 10 |
| 2017 | $214.91 | $89.46 | 2.40x | $125.45 | $38.4K | 429 | 8 |
| 2018 | $330.16 | $100.81 | 3.28x | $229.35 | $26.3K | 261 | 5 |
| 2019 | $231.85 | $70.86 | 3.27x | $160.99 | $5.1K | 72 | 3 |
| 2020 | $155.19 | $38.41 | 4.04x | $116.78 | $157.7K | 4.1K | 13 |
| 2021 | $108.46 | $32.56 | 3.33x | $75.90 | $186.7K | 5.7K | 15 |
| 2022 | $861.30 | $647.24 | 1.33x | $214.06 | $5.3M | 8.1K | 12 |
| 2023 | $1.2K | $913.02 | 1.29x | $260.99 | $27.1M | 29.7K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 19.6K | $20.7M | $1.1K | 1.28x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 16.3K | $11.6M | $709.61 | 1.29x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1.9K | $137.5K | $70.91 | 4.18x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 6.2K | $82.5K | $13.41 | 3.50x |
| 99310 | Follow-up nursing facility visit per day, typically 35 minutes | 660 | $70.7K | $107.05 | 3.93x |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | 598 | $49.2K | $82.20 | 3.06x |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | 311 | $48.4K | $155.67 | 2.91x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 639 | $36.0K | $56.28 | 2.67x |
| 99239 | Hospital discharge day management, more than 30 minutes | 409 | $34.4K | $84.08 | 2.86x |
| 99306 | Initial nursing facility visit per day, typically 45 minutes | 236 | $31.3K | $132.81 | 3.93x |
| 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 | 202 | $25.5K | $126.11 | 2.22x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 232 | $23.3K | $100.57 | 4.55x |
| 77002 | Fluoroscopic guidance for insertion of needle | 248 | $22.4K | $90.26 | 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 | 166 | $20.5K | $123.21 | 1.36x |
| 99220 | Hospital observation care, typically 70 minutes | 119 | $17.0K | $142.96 | 2.86x |
| 15273 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 58 | $14.1K | $242.56 | 1.38x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 254 | $13.1K | $51.46 | 2.56x |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 265 | $10.7K | $40.23 | 2.55x |
| 99308 | Follow-up nursing facility visit per day, typically 15 minutes | 149 | $6.1K | $41.14 | 5.80x |
| 99217 | Hospital observation care on day of discharge | 99 | $5.7K | $57.76 | 2.73x |
This provider submits charges 1.33 times higher than what Medicare actually pays.
A markup ratio of 1.33x means for every $100 Medicare pays, this provider initially charges $133. 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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