Skin Substitutes Patient Story – Florida

Patient J, a 72-year-old man from Coral Springs, Florida, manages diabetes and Parkinson’s disease with regular visits to his primary care physician and podiatrist. His medical records show steady management of his conditions and no indication of any diabetic found wounds.

Yet between February 21 and March 14, 2025, a series of claims were submitted by an anesthesiologist for weekly skin graft procedures on a supposed diabetic foot ulcer. The billed wound size was six times larger than normal, and total billed costs exceeded $150,000, roughly 13 times the standard expense for such a case.

Despite the volume and cost of care reflected in the claims, there was no corroborating evidence in his regular treating physicians’ notes that suggested such a wound existed.