This provider's $4.1M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
67% of their billing comes from a single procedure code (14301 — Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)).
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 | $839.08 | $379.76 | 2.21x | $459.32 | $391.8K | 679 | 644 |
| 2015 | $768.00 | $367.94 | 2.09x | $400.06 | $454.2K | 743 | 698 |
| 2016 | $884.00 | $420.60 | 2.10x | $463.40 | $404.2K | 630 | 595 |
| 2017 | $963.43 | $459.21 | 2.10x | $504.22 | $458.6K | 644 | 610 |
| 2018 | $910.56 | $496.67 | 1.83x | $413.89 | $428.0K | 583 | 549 |
| 2019 | $927.74 | $492.54 | 1.88x | $435.20 | $391.5K | 540 | 517 |
| 2020 | $1.0K | $562.72 | 1.82x | $462.84 | $349.5K | 450 | 417 |
| 2021 | $939.59 | $551.66 | 1.70x | $387.93 | $444.7K | 498 | 471 |
| 2022 | $1.1K | $546.60 | 2.09x | $594.92 | $385.5K | 437 | 418 |
| 2023 | $1.3K | $557.91 | 2.29x | $720.75 | $366.0K | 438 | 422 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 2.5K | $2.7M | $1.1K | 1.65x |
| 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 | 708 | $431.4K | $609.38 | 2.04x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 581 | $258.9K | $445.67 | 1.54x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 387 | $208.8K | $539.52 | 2.29x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 344 | $201.4K | $585.48 | 2.11x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 333 | $61.4K | $184.47 | 2.17x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 323 | $60.0K | $185.82 | 1.69x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 81 | $47.6K | $587.51 | 2.19x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 76 | $31.3K | $412.37 | 2.99x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 160 | $29.4K | $183.83 | 2.15x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 40 | $16.5K | $412.92 | 3.16x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 11 | $6.9K | $625.51 | 1.60x |
| 17000 | Destruction of skin growth | 92 | $1.4K | $15.68 | 2.55x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. This is lower than the national average.
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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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