This provider's $20.2M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Medicare payments to this provider grew 58606% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 763% in 2018
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 | $129.26 | $42.33 | 3.05x | $86.93 | $11.4K | 269 | 5 |
| 2015 | $174.71 | $56.86 | 3.07x | $117.85 | $38.2K | 671 | 9 |
| 2016 | $153.87 | $49.44 | 3.11x | $104.43 | $64.5K | 1.3K | 10 |
| 2017 | $163.79 | $46.42 | 3.53x | $117.37 | $146.7K | 3.2K | 21 |
| 2018 | $328.25 | $202.66 | 1.62x | $125.59 | $1.3M | 6.2K | 21 |
| 2019 | $384.76 | $103.45 | 3.72x | $281.31 | $991.3K | 9.6K | 22 |
| 2020 | $629.17 | $308.73 | 2.04x | $320.44 | $2.7M | 8.6K | 17 |
| 2021 | $991.70 | $601.03 | 1.65x | $390.67 | $3.1M | 5.2K | 10 |
| 2022 | $1.1K | $752.03 | 1.40x | $299.03 | $5.2M | 6.9K | 9 |
| 2023 | $1.3K | $948.80 | 1.38x | $356.87 | $6.7M | 7.0K | 10 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4159 | Affinity, per square centimeter | 7.7K | $5.5M | $720.53 | 1.39x |
| Q4236 | Carepatch, per square centimeter | 4.0K | $4.0M | $1.0K | 1.37x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 4.4K | $3.4M | $766.75 | 1.28x |
| Q4262 | Dual layer impax membrane, per square centimeter | 2.1K | $2.2M | $1.0K | 1.34x |
| Q4169 | Artacent wound, per square centimeter | 9.0K | $1.7M | $191.11 | 3.32x |
| A2001 | Innovamatrix ac, per square centimeter | 1.1K | $1.6M | $1.5K | 1.40x |
| Q4234 | Xcellerate, per square centimeter | 412 | $415.6K | $1.0K | 1.29x |
| Q4197 | Puraply xt, per square centimeter | 1.8K | $369.3K | $211.02 | 2.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.8K | $178.7K | $63.00 | 3.67x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.2K | $94.0K | $43.72 | 5.72x |
| 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 | 771 | $79.5K | $103.07 | 2.91x |
| 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 | 789 | $78.8K | $99.88 | 4.51x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 780 | $66.5K | $85.21 | 2.93x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 856 | $59.0K | $68.87 | 3.63x |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 230 | $52.6K | $228.90 | 3.28x |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 169 | $44.5K | $263.41 | 3.42x |
| 99349 | Established patient home visit, typically 40 minutes | 555 | $41.8K | $75.23 | 3.19x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 533 | $36.6K | $68.74 | 3.64x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 269 | $32.1K | $119.27 | 2.10x |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5K | $31.8K | $21.26 | 2.35x |
This provider submits charges 1.67 times higher than what Medicare actually pays.
A markup ratio of 1.67x means for every $100 Medicare pays, this provider initially charges $167. 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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