Cost analysis for CPT 13121 — Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
Average Medicare Payment
$243.25
2023 data
Total Payments (2023)
$44.3M
Services (2023)
186.2K
Price Change (2014–2023)
+0.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $242.63 | $29.4M | 121.9K | — |
| 2015 | $246.62 | $33.0M | 136.4K | +1.6% |
| 2016 | $245.41 | $36.7M | 152.6K | -0.5% |
| 2017 | $246.81 | $39.7M | 165.1K | +0.6% |
| 2018 | $247.15 | $42.6M | 177.1K | +0.1% |
| 2019 | $252.58 | $46.9M | 191.5K | +2.2% |
| 2020 | $252.07 | $39.5M | 161.0K | -0.2% |
| 2021 | $254.51 | $41.8M | 168.0K | +1.0% |
| 2022 | $248.23 | $41.6M | 172.2K | -2.5% |
| 2023 | $243.25 | $44.3M | 186.2K | -2.0% |
The most expensive state pays 2.0x more than the cheapest for this procedure. DC averages $338.06 vs ME at $169.91.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $338.06 | $129.1K | 382 | 5 |
| CA | $265.41 | $6.2M | 23.3K | 431 |
| HI | $263.20 | $99.2K | 377 | 8 |
| NJ | $262.48 | $1.1M | 4.3K | 87 |
| NY | $259.03 | $2.2M | 8.4K | 164 |
| VA | $258.12 | $854.6K | 3.3K | 67 |
| FL | $256.75 | $10.1M | 39.3K | 539 |
| MT | $253.22 | $83.8K | 331 | 11 |
| CO | $252.49 | $834.0K | 3.3K | 67 |
| MN | $250.16 | $255.9K | 1.0K | 29 |
| MA | $239.79 | $956.3K | 4.0K | 68 |
| DE | $238.49 | $307.2K | 1.3K | 16 |
| IL | $236.73 | $1.2M | 5.1K | 96 |
| NV | $235.80 | $538.1K | 2.3K | 44 |
| AZ | $235.04 | $1.8M | 7.8K | 136 |
| NM | $233.32 | $86.1K | 369 | 11 |
| NC | $232.99 | $1.2M | 5.0K | 86 |
| PA | $232.65 | $1.4M | 6.1K | 118 |
| TX | $229.73 | $2.5M | 10.9K | 207 |
| MD | $227.68 | $673.7K | 3.0K | 55 |
| KY | $226.81 | $532.8K | 2.3K | 39 |
| OR | $226.53 | $273.6K | 1.2K | 38 |
| MI | $226.00 | $463.5K | 2.1K | 59 |
| SC | $224.56 | $830.2K | 3.7K | 58 |
| WA | $224.39 | $824.4K | 3.7K | 78 |
| IA | $223.55 | $153.1K | 685 | 15 |
| GA | $218.21 | $1.7M | 7.8K | 130 |
| UT | $217.47 | $195.7K | 900 | 30 |
| OH | $217.13 | $773.2K | 3.6K | 87 |
| NE | $216.74 | $98.6K | 455 | 14 |
| CT | $212.81 | $287.7K | 1.4K | 21 |
| WV | $211.82 | $193.8K | 915 | 20 |
| TN | $207.64 | $763.5K | 3.7K | 75 |
| IN | $205.87 | $726.3K | 3.5K | 50 |
| NH | $204.35 | $130.6K | 639 | 14 |
| WI | $203.78 | $281.0K | 1.4K | 33 |
| MO | $201.31 | $811.5K | 4.0K | 61 |
| ID | $200.86 | $98.6K | 491 | 14 |
| LA | $195.06 | $251.0K | 1.3K | 25 |
| MS | $193.19 | $158.2K | 819 | 19 |
| ND | $192.80 | $107.0K | 555 | 8 |
| RI | $190.53 | $118.1K | 620 | 11 |
| AL | $189.67 | $704.4K | 3.7K | 49 |
| KS | $187.43 | $356.9K | 1.9K | 31 |
| SD | $186.15 | $119.3K | 641 | 12 |
| OK | $184.64 | $201.6K | 1.1K | 20 |
| WY | $175.33 | $121.0K | 690 | 6 |
| AR | $171.09 | $348.8K | 2.0K | 25 |
| ME | $169.91 | $28.0K | 165 | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Artur Henke | Dermatology | CA | $299.9K | 825 | $363.50 |
| Thi Tran | Dermatology | FL | $171.8K | 690 | $248.96 |
| Scott Warren | Dermatology | FL | $158.1K | 872 | $181.33 |
| Sean Sukal | Dermatology | FL | $148.9K | 512 | $290.87 |
| John Perrotto | Dermatology | FL | $144.7K | 548 | $264.14 |
| James Keane | Dermatology | AR | $140.4K | 798 | $175.91 |
| Monika Srivastava | Dermatology | FL | $135.0K | 581 | $232.33 |
| Ashraf Hassanein | Dermatology | FL | $130.1K | 412 | $315.83 |
| Gregory Houck | Dermatology | FL | $116.0K | 348 | $333.46 |
| Patricia Matheis | Dermatology | NC | $110.9K | 396 | $279.98 |
| Reagan Anderson | Dermatology | CO | $103.2K | 368 | $280.43 |
| Mary Ella Carter | Plastic and Reconstructive Surgery | DC | $103.0K | 278 | $370.58 |
| Kevin Kia | Dermatology | TX | $99.7K | 303 | $328.94 |
| Marc Inglese | Dermatology | FL | $99.5K | 329 | $302.43 |
| John Chung | Dermatology | GA | $92.0K | 433 | $212.43 |
| Robert Gotkin | Plastic and Reconstructive Surgery | NY | $89.9K | 236 | $381.04 |
| Andrew Breithaupt | Dermatology | CA | $89.5K | 428 | $209.06 |
| Ronald Shiell | Dermatology | CA | $88.7K | 419 | $211.60 |
| Weimin Hu | Dermatology | AZ | $87.7K | 331 | $264.89 |
| John Siebenlist | Dermatology | CA | $86.5K | 279 | $309.96 |
Based on the data, CPT 13121 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 0.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.