This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Family Practice providers nationally.
Medicare payments to this provider grew 10813% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2714% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $89.32 | $37.14 | 2.40x | $52.18 | $46.8K | 1.3K | 12 |
| 2015 | $99.19 | $46.14 | 2.15x | $53.05 | $64.9K | 1.4K | 12 |
| 2016 | $85.34 | $43.76 | 1.95x | $41.58 | $67.9K | 1.6K | 13 |
| 2017 | $85.89 | $43.41 | 1.98x | $42.48 | $80.7K | 1.9K | 12 |
| 2018 | $92.49 | $44.25 | 2.09x | $48.24 | $91.6K | 2.1K | 14 |
| 2019 | $104.57 | $49.87 | 2.10x | $54.70 | $106.6K | 2.1K | 13 |
| 2020 | $114.19 | $58.82 | 1.94x | $55.37 | $81.0K | 1.4K | 12 |
| 2021 | $319.45 | $230.55 | 1.39x | $88.90 | $2.3M | 9.9K | 17 |
| 2022 | $443.40 | $344.37 | 1.29x | $99.03 | $4.2M | 12.1K | 18 |
| 2023 | $964.59 | $732.73 | 1.32x | $231.86 | $5.1M | 7.0K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4158 | Kerecis omega3, per square centimeter | 9.3K | $3.0M | $329.21 | 1.26x |
| Q4262 | Dual layer impax membrane, per square centimeter | 2.4K | $2.5M | $1.0K | 1.32x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 1.8K | $2.1M | $1.2K | 1.28x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 1.4K | $1.1M | $734.56 | 1.28x |
| Q4254 | Novafix dl, per square centimeter | 2.5K | $852.3K | $339.68 | 1.29x |
| Q4173 | Palingen or palingen xplus, per square centimeter | 3.9K | $797.0K | $206.37 | 1.49x |
| 97610 | Therapy procedure using ultrasound | 1.6K | $550.7K | $350.07 | 1.36x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.4K | $222.9K | $50.29 | 1.92x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.5K | $178.6K | $72.35 | 2.00x |
| Q4208 | Novafix, per square cenitmeter | 660 | $169.3K | $256.57 | 1.25x |
| 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 | 839 | $102.0K | $121.54 | 1.41x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 655 | $74.9K | $114.41 | 1.65x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 583 | $57.6K | $98.86 | 1.86x |
| 99497 | Advance care planning, first 30 minutes | 842 | $39.8K | $47.28 | 2.03x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 477 | $28.6K | $59.92 | 1.70x |
| 93922 | Ultrasound study of arteries of both arms and legs | 408 | $24.5K | $60.15 | 2.59x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 341 | $23.3K | $68.28 | 2.36x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.5K | $23.3K | $15.70 | 2.24x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 214 | $22.3K | $104.35 | 2.17x |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 342 | $20.3K | $59.27 | 1.50x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. 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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