This provider's $19.7M in total Medicare payments ranks in the 99th percentile of Physician Assistant providers nationally.
Medicare payments to this provider grew 2587% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 690% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $163.03 | $99.27 | 1.64x | $63.76 | $222.1K | 2.2K | 11 |
| 2016 | $371.79 | $129.33 | 2.87x | $242.46 | $23.2K | 179 | 2 |
| 2017 | $441.97 | $141.47 | 3.12x | $300.50 | $51.8K | 366 | 4 |
| 2018 | $311.94 | $106.98 | 2.92x | $204.96 | $53.0K | 495 | 4 |
| 2019 | $312.64 | $112.20 | 2.79x | $200.44 | $103.8K | 925 | 4 |
| 2020 | $331.74 | $123.90 | 2.68x | $207.84 | $201.0K | 1.6K | 4 |
| 2021 | $402.12 | $219.04 | 1.84x | $183.08 | $1.6M | 7.3K | 5 |
| 2022 | $692.53 | $514.75 | 1.35x | $177.78 | $11.5M | 22.4K | 7 |
| 2023 | $798.27 | $522.70 | 1.53x | $275.57 | $6.0M | 11.4K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 15.7K | $10.7M | $678.94 | 1.35x |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 4.3K | $3.5M | $810.68 | 1.29x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 6.4K | $2.7M | $414.56 | 1.25x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 9.0K | $1.5M | $170.53 | 2.57x |
| Q4259 | Celera dual layer or celera dual membrane, per square centimeter | 730 | $576.3K | $789.49 | 1.28x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 4.8K | $417.1K | $87.35 | 2.69x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 2.7K | $141.6K | $52.99 | 2.76x |
| 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 | $124.9K | $83.71 | 3.00x |
| 99349 | Established patient home visit, typically 40 minutes | 404 | $35.2K | $87.20 | 1.66x |
| 49450 | Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin | 56 | $27.5K | $490.78 | 2.70x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 916 | $26.9K | $29.39 | 2.31x |
| 99343 | New patient home visit, typically 45 minutes | 61 | $5.5K | $90.22 | 1.55x |
| 99344 | New patient home visit, typically 60 minutes | 46 | $5.2K | $112.95 | 1.80x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 164 | $4.9K | $29.69 | 1.64x |
| 93922 | Ultrasound study of arteries of both arms and legs | 58 | $4.0K | $68.55 | 1.59x |
| 99342 | New patient home visit, typically 30 minutes | 19 | $1.1K | $56.99 | 1.51x |
| 17250 | Application of chemical agent to excessive wound tissue | 21 | $628.92 | $29.95 | 1.67x |
This provider submits charges 1.47 times higher than what Medicare actually pays.
A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. 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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