Medicare spending analysis for Nurse Practitioner providers
Nurse Practitioner accounts for $31.5B in Medicare payments across 1.2M providers.
The specialty's average markup of 3.5x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.5B | 41.2M | 68.4K | — |
| 2015 | $1.8B | 49.7M | 78.8K | +20.1% |
| 2016 | $2.1B | 55.8M | 91.1K | +14.7% |
| 2017 | $2.5B | 63.6M | 104.1K | +16.1% |
| 2018 | $2.8B | 72.7M | 116.9K | +13.5% |
| 2019 | $3.2B | 86.2M | 130.6K | +16.4% |
| 2020 | $3.3B | 85.7M | 137.5K | +0.7% |
| 2021 | $4.1B | 101.3M | 149.9K | +25.1% |
| 2022 | $4.4B | 108.5M | 162.9K | +8.1% |
| 2023 | $5.7B | 127.1M | 174.7K | +28.7% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Ira Denny | AZ | $135.3M | 154.8K | $873.79 |
| 2 | Jorge Kinds | AZ | $123.9M | 134.0K | $924.50 |
| 3 | Carlos Ching | AZ | $62.9M | 69.1K | $910.61 |
| 4 | Bethany Jameson | AZ | $49.9M | 50.1K | $997.39 |
| 5 | Gina Palacios | AZ | $27.0M | 34.4K | $785.49 |
| 6 | Elisabeth Balken | AZ | $23.3M | 29.7K | $784.77 |
| 7 | Carlos Reyes Chouza | FL | $23.2M | 23.3K | $994.48 |
| 8 | Marizel Yukee | NV | $19.7M | 25.8K | $761.47 |
| 9 | Arlene Bautista | AZ | $16.8M | 21.5K | $784.44 |
| 10 | Sheeba Mathai | TX | $16.2M | 1.4M | $11.77 |
| 11 | Nyrie Austin | NJ | $15.9M | 18.2K | $870.59 |
| 12 | Merry Taheri | CA | $12.1M | 1.0M | $11.76 |
| 13 | Jami Gorton | CO | $10.3M | 14.5K | $713.16 |
| 14 | Brent Byers | OK | $9.8M | 9.9K | $991.07 |
| 15 | Flor Fimbres | AZ | $8.5M | 12.6K | $674.93 |
| 16 | Lobaba Habach | FL | $8.5M | 22.6K | $375.64 |
| 17 | Robert Johnson | FL | $8.3M | 10.9K | $765.09 |
| 18 | Josue Moran | FL | $7.4M | 12.2K | $608.01 |
| 19 | Ivory Christen | FL | $7.1M | 8.3K | $849.08 |
| 20 | Eric Ogari | AZ | $6.9M | 9.1K | $760.22 |
| 21 | Philana Mcdonald | CA | $6.9M | 584.8K | $11.76 |
| 22 | Mary Huntly | NV | $6.9M | 8.5K | $807.20 |
| 23 | April Lopez | TX | $6.7M | 7.0K | $948.80 |
| 24 | Shelita Banks | TX | $6.7M | 6.6K | $1.0K |
| 25 | Lisa Casazza | AZ | $6.4M | 7.4K | $869.29 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $905.1M | 13.0M | $69.65 |
| Q4262 | Dual layer impax membrane, per square centimeter | $598.1M | 653.1K | $915.76 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $453.3M | 9.3M | $48.85 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $450.4M | 6.5M | $69.49 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $227.7M | 4.7M | $48.96 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $166.6M | 2.1M | $80.23 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $149.9M | 2.9M | $52.51 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $127.7M | 1.3M | $100.72 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $110.3M | 1.1M | $101.78 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $108.0M | 1.1M | $100.43 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $100.0M | 1.3M | $79.24 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $85.5M | 723.9K | $118.12 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $80.4M | 858.5K | $93.66 |
| J0897 | Injection, denosumab, 1 mg | $79.1M | 4.3M | $18.25 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $74.7M | 658.1K | $113.56 |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | $60.1M | 57.9K | $1.0K |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $58.0M | 958.0K | $60.51 |
| Q4236 | Carepatch, per square centimeter | $53.6M | 53.7K | $998.81 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $52.6M | 4.5M | $11.76 |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | $47.4M | 41.4K | $1.1K |
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.