This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
72% of their billing comes from a single procedure code (Q4276 — Orion, per square centimeter).
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 |
|---|---|---|---|---|---|---|---|
| 2023 | $1.4K | $1.1K | 1.28x | $308.76 | $5.3M | 4.8K | 3 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4276 | Orion, per square centimeter | 3.3K | $3.8M | $1.2K | 1.28x |
| Q4262 | Dual layer impax membrane, per square centimeter | 1.5K | $1.5M | $1.0K | 1.28x |
| 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 | 92 | $10.3K | $111.70 | 3.28x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 26 | $1.5K | $57.32 | 2.11x |
This provider submits charges 1.28 times higher than what Medicare actually pays.
A markup ratio of 1.28x means for every $100 Medicare pays, this provider initially charges $128. 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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