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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 13121
  4. Cost Analysis

How Much Does Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm Cost on Medicare?

Cost analysis for CPT 13121 — Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

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Average Medicare Payment

$243.25

2023 data

Total Payments (2023)

$44.3M

Services (2023)

186.2K

Price Change (2014–2023)

+0.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$242.63$29.4M121.9K—
2015$246.62$33.0M136.4K+1.6%
2016$245.41$36.7M152.6K-0.5%
2017$246.81$39.7M165.1K+0.6%
2018$247.15$42.6M177.1K+0.1%
2019$252.58$46.9M191.5K+2.2%
2020$252.07$39.5M161.0K-0.2%
2021$254.51$41.8M168.0K+1.0%
2022$248.23$41.6M172.2K-2.5%
2023$243.25$44.3M186.2K-2.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.0x more than the cheapest for this procedure. DC averages $338.06 vs ME at $169.91.

StateAvg PaymentTotal PaymentsServicesProviders
DC$338.06$129.1K3825
CA$265.41$6.2M23.3K431
HI$263.20$99.2K3778
NJ$262.48$1.1M4.3K87
NY$259.03$2.2M8.4K164
VA$258.12$854.6K3.3K67
FL$256.75$10.1M39.3K539
MT$253.22$83.8K33111
CO$252.49$834.0K3.3K67
MN$250.16$255.9K1.0K29
MA$239.79$956.3K4.0K68
DE$238.49$307.2K1.3K16
IL$236.73$1.2M5.1K96
NV$235.80$538.1K2.3K44
AZ$235.04$1.8M7.8K136
NM$233.32$86.1K36911
NC$232.99$1.2M5.0K86
PA$232.65$1.4M6.1K118
TX$229.73$2.5M10.9K207
MD$227.68$673.7K3.0K55
KY$226.81$532.8K2.3K39
OR$226.53$273.6K1.2K38
MI$226.00$463.5K2.1K59
SC$224.56$830.2K3.7K58
WA$224.39$824.4K3.7K78
IA$223.55$153.1K68515
GA$218.21$1.7M7.8K130
UT$217.47$195.7K90030
OH$217.13$773.2K3.6K87
NE$216.74$98.6K45514
CT$212.81$287.7K1.4K21
WV$211.82$193.8K91520
TN$207.64$763.5K3.7K75
IN$205.87$726.3K3.5K50
NH$204.35$130.6K63914
WI$203.78$281.0K1.4K33
MO$201.31$811.5K4.0K61
ID$200.86$98.6K49114
LA$195.06$251.0K1.3K25
MS$193.19$158.2K81919
ND$192.80$107.0K5558
RI$190.53$118.1K62011
AL$189.67$704.4K3.7K49
KS$187.43$356.9K1.9K31
SD$186.15$119.3K64112
OK$184.64$201.6K1.1K20
WY$175.33$121.0K6906
AR$171.09$348.8K2.0K25
ME$169.91$28.0K1655

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Artur HenkeDermatologyCA$299.9K825$363.50
Thi TranDermatologyFL$171.8K690$248.96
Scott WarrenDermatologyFL$158.1K872$181.33
Sean SukalDermatologyFL$148.9K512$290.87
John PerrottoDermatologyFL$144.7K548$264.14
James KeaneDermatologyAR$140.4K798$175.91
Monika SrivastavaDermatologyFL$135.0K581$232.33
Ashraf HassaneinDermatologyFL$130.1K412$315.83
Gregory HouckDermatologyFL$116.0K348$333.46
Patricia MatheisDermatologyNC$110.9K396$279.98
Reagan AndersonDermatologyCO$103.2K368$280.43
Mary Ella CarterPlastic and Reconstructive SurgeryDC$103.0K278$370.58
Kevin KiaDermatologyTX$99.7K303$328.94
Marc IngleseDermatologyFL$99.5K329$302.43
John ChungDermatologyGA$92.0K433$212.43
Robert GotkinPlastic and Reconstructive SurgeryNY$89.9K236$381.04
Andrew BreithauptDermatologyCA$89.5K428$209.06
Ronald ShiellDermatologyCA$88.7K419$211.60
Weimin HuDermatologyAZ$87.7K331$264.89
John SiebenlistDermatologyCA$86.5K279$309.96

🤔 Is Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.