This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Nurse Practitioner providers nationally.
Medicare payments to this provider grew 44787% from 2021 to 2023.
66% 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 9443% 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 |
|---|---|---|---|---|---|---|---|
| 2021 | $39.00 | $24.89 | 1.57x | $14.11 | $10.6K | 425 | 1 |
| 2022 | $41.47 | $23.09 | 1.80x | $18.38 | $49.8K | 2.2K | 3 |
| 2023 | $941.58 | $719.53 | 1.31x | $222.05 | $4.7M | 6.6K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 3.3K | $3.2M | $957.81 | 1.28x |
| Q4188 | Amnioarmor, per square centimeter | 1.4K | $1.1M | $744.80 | 1.28x |
| Q4281 | Barrera sl or barrera dl, per square centimeter | 304 | $369.4K | $1.2K | 1.28x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 2.5K | $57.7K | $22.65 | 1.72x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 538 | $52.2K | $97.06 | 2.58x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 528 | $28.0K | $53.01 | 2.83x |
| 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 | 191 | $21.6K | $113.33 | 2.74x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 113 | $6.0K | $52.98 | 2.64x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 107 | $3.5K | $32.44 | 3.39x |
| 15272 | Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | 71 | $1.2K | $17.15 | 2.80x |
This provider submits charges 1.31 times higher than what Medicare actually pays.
A markup ratio of 1.31x means for every $100 Medicare pays, this provider initially charges $131. 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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