This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 8422% from 2014 to 2023.
82% of their billing comes from a single procedure code (Q4236 — Carepatch, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 9868% in 2023
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 | $65.17 | $17.64 | 3.69x | $47.53 | $50.2K | 2.8K | 14 |
| 2015 | $61.46 | $18.26 | 3.37x | $43.20 | $67.9K | 3.7K | 19 |
| 2016 | $34.93 | $12.37 | 2.82x | $22.56 | $66.9K | 5.4K | 21 |
| 2017 | $122.80 | $58.49 | 2.10x | $64.31 | $81.8K | 1.4K | 11 |
| 2018 | $159.58 | $49.51 | 3.22x | $110.07 | $38.6K | 779 | 10 |
| 2019 | $240.37 | $73.93 | 3.25x | $166.44 | $10.9K | 148 | 5 |
| 2020 | $259.26 | $109.44 | 2.37x | $149.82 | $8.9K | 81 | 2 |
| 2021 | $244.87 | $80.92 | 3.03x | $163.95 | $54.5K | 674 | 11 |
| 2022 | $419.03 | $109.57 | 3.82x | $309.46 | $43.0K | 392 | 6 |
| 2023 | $1.0K | $608.03 | 1.68x | $410.70 | $4.3M | 7.0K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 4.0K | $3.8M | $957.32 | 1.38x |
| 97610 | Therapy procedure using ultrasound | 678 | $258.9K | $381.93 | 4.32x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 944 | $76.3K | $80.80 | 2.55x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 729 | $74.0K | $101.55 | 3.94x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.5K | $65.3K | $44.41 | 2.67x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 387 | $64.6K | $166.85 | 2.91x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 437 | $35.4K | $81.05 | 2.15x |
| 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 | 289 | $34.7K | $120.07 | 3.72x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 418 | $30.9K | $73.99 | 3.20x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 525 | $28.2K | $53.68 | 3.15x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 161 | $25.6K | $159.22 | 1.72x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 238 | $25.0K | $105.16 | 2.80x |
| 11044 | Removal of bone, 20.0 sq cm or less | 96 | $24.0K | $249.54 | 2.79x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 234 | $21.4K | $91.67 | 3.69x |
| 82947 | Blood glucose (sugar) level | 3.8K | $19.6K | $5.22 | 2.90x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 266 | $15.5K | $58.11 | 2.78x |
| 45384 | Removal of tissue abnormalities, tumors, or polyps of large bowel by hot biopsy forceps, using a flexible endoscope | 88 | $12.4K | $140.35 | 4.22x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 616 | $11.1K | $18.00 | 1.68x |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 365 | $10.7K | $29.41 | 7.76x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 72 | $9.9K | $137.48 | 3.99x |
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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