This provider's $5.8M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $492.78 | $357.09 | 1.38x | $135.69 | $449.1K | 1.5K | 1.4K |
| 2015 | $620.48 | $426.75 | 1.45x | $193.73 | $511.1K | 1.5K | 1.4K |
| 2016 | $664.55 | $459.97 | 1.44x | $204.58 | $525.5K | 1.5K | 1.4K |
| 2017 | $823.19 | $568.67 | 1.45x | $254.52 | $545.2K | 1.5K | 1.4K |
| 2018 | $875.85 | $611.57 | 1.43x | $264.28 | $615.6K | 1.7K | 1.5K |
| 2019 | $887.38 | $603.83 | 1.47x | $283.55 | $635.6K | 1.7K | 1.5K |
| 2020 | $823.27 | $590.78 | 1.39x | $232.49 | $613.7K | 1.6K | 1.5K |
| 2021 | $697.70 | $507.08 | 1.38x | $190.62 | $598.0K | 1.5K | 1.4K |
| 2022 | $691.02 | $509.98 | 1.35x | $181.04 | $591.9K | 1.4K | 1.3K |
| 2023 | $746.81 | $551.84 | 1.35x | $194.97 | $670.3K | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 1.9K | $1.2M | $621.36 | 1.39x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.7K | $896.3K | $191.44 | 1.48x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 1.4K | $855.3K | $630.76 | 1.40x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 974 | $603.8K | $619.94 | 1.40x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 908 | $558.0K | $614.50 | 1.42x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.9K | $550.2K | $189.21 | 1.50x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 496 | $311.8K | $628.73 | 1.39x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.0K | $191.5K | $187.55 | 1.55x |
| 21235 | Obtaining ear cartilage for grafting | 174 | $184.4K | $1.1K | 1.39x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 234 | $142.1K | $607.24 | 1.40x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 540 | $98.5K | $182.32 | 1.47x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 153 | $96.2K | $628.71 | 1.39x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 65 | $66.2K | $1.0K | 1.37x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 58 | $27.8K | $479.63 | 1.55x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 28 | $4.1K | $147.28 | 1.58x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 15 | $1.1K | $70.31 | 1.60x |
This provider submits charges 1.43 times higher than what Medicare actually pays.
A markup ratio of 1.43x means for every $100 Medicare pays, this provider initially charges $143. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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