This provider's $7.9M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 9549% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1850% in 2022
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 | $263.97 | $93.73 | 2.82x | $170.24 | $59.0K | 629 | 12 |
| 2015 | $222.14 | $77.79 | 2.86x | $144.35 | $52.4K | 674 | 10 |
| 2016 | $181.72 | $64.92 | 2.80x | $116.80 | $50.6K | 780 | 8 |
| 2017 | $200.93 | $73.07 | 2.75x | $127.86 | $45.9K | 628 | 9 |
| 2018 | $200.99 | $71.11 | 2.83x | $129.88 | $34.6K | 486 | 9 |
| 2019 | $237.84 | $91.32 | 2.60x | $146.52 | $46.4K | 508 | 8 |
| 2020 | $224.53 | $85.60 | 2.62x | $138.93 | $39.5K | 461 | 8 |
| 2021 | $305.00 | $102.71 | 2.97x | $202.29 | $93.9K | 914 | 11 |
| 2022 | $494.67 | $268.61 | 1.84x | $226.06 | $1.8M | 6.8K | 24 |
| 2023 | $1.0K | $592.54 | 1.72x | $425.74 | $5.7M | 9.6K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 4.9K | $4.7M | $954.32 | 1.37x |
| Q4188 | Amnioarmor, per square centimeter | 1.7K | $944.1K | $571.50 | 1.28x |
| Q4158 | Kerecis omega3, per square centimeter | 1.5K | $708.7K | $471.84 | 1.27x |
| 97610 | Therapy procedure using ultrasound | 1.0K | $352.7K | $341.15 | 4.84x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 2.8K | $273.3K | $98.24 | 4.07x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 1.3K | $244.9K | $181.93 | 2.80x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 857 | $89.9K | $104.89 | 2.70x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 507 | $76.0K | $149.91 | 2.79x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 697 | $73.4K | $105.28 | 4.22x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1.3K | $70.6K | $56.21 | 2.66x |
| 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 | 612 | $67.8K | $110.79 | 4.03x |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | 1.5K | $45.1K | $30.26 | 2.64x |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 72 | $41.0K | $569.48 | 2.63x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 266 | $31.3K | $117.68 | 2.46x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 518 | $30.0K | $57.89 | 2.79x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 152 | $24.0K | $158.13 | 2.62x |
| 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 | 206 | $23.9K | $115.91 | 4.06x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 281 | $23.6K | $84.05 | 2.57x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 199 | $22.2K | $111.71 | 2.96x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 197 | $17.7K | $89.81 | 2.95x |
This provider submits charges 1.8 times higher than what Medicare actually pays.
A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. 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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