This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $167.92 | $97.92 | 1.71x | $70.00 | $459.9K | 5.0K | 1.1K |
| 2015 | $184.98 | $108.36 | 1.71x | $76.62 | $327.4K | 3.2K | 859 |
| 2016 | $186.36 | $107.51 | 1.73x | $78.85 | $470.9K | 4.4K | 992 |
| 2017 | $188.37 | $106.09 | 1.78x | $82.28 | $483.3K | 4.6K | 961 |
| 2018 | $203.47 | $109.89 | 1.85x | $93.58 | $498.2K | 4.5K | 1.1K |
| 2019 | $202.53 | $81.18 | 2.49x | $121.35 | $384.7K | 3.8K | 945 |
| 2020 | $203.52 | $86.71 | 2.35x | $116.81 | $460.6K | 4.3K | 957 |
| 2021 | $202.93 | $73.99 | 2.74x | $128.94 | $384.2K | 3.9K | 877 |
| 2022 | $216.97 | $91.86 | 2.36x | $125.11 | $481.3K | 4.4K | 810 |
| 2023 | $215.27 | $92.30 | 2.33x | $122.97 | $684.2K | 5.7K | 949 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 14.0K | $2.3M | $167.72 | 1.69x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 6.0K | $620.3K | $102.61 | 1.63x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 4.3K | $289.3K | $67.48 | 1.63x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 4.0K | $271.8K | $68.23 | 2.27x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 4.8K | $237.9K | $49.28 | 1.79x |
| 17250 | Application of chemical agent to excessive wound tissue | 3.8K | $233.8K | $61.57 | 1.67x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 1.0K | $232.4K | $229.17 | 1.65x |
| 43760 | Change of stomach feeding, accessed through the skin | 376 | $141.1K | $375.19 | 1.75x |
| 11046 | Removal of skin and/or muscle | 2.6K | $138.6K | $53.52 | 1.67x |
| 11047 | Removal of skin and bone | 642 | $57.4K | $89.34 | 1.66x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.4K | $45.1K | $31.23 | 1.72x |
| 11045 | Removal of skin and tissue | 671 | $20.4K | $30.40 | 1.65x |
| 49450 | Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin | 139 | $6.1K | $44.11 | 19.04x |
This provider submits charges 1.74 times higher than what Medicare actually pays.
A markup ratio of 1.74x means for every $100 Medicare pays, this provider initially charges $174. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data