This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Their average markup ratio of 5.76x is significantly above the specialty median of 4.1x.
Medicare payments to this provider grew 2653% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 285% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $255.34 | $83.89 | 3.04x | $171.45 | $36.1K | 601 | 504 |
| 2015 | $3.2K | $261.67 | 12.14x | $2.9K | $58.6K | 267 | 245 |
| 2016 | $3.0K | $228.24 | 13.30x | $2.8K | $83.6K | 405 | 386 |
| 2017 | $4.8K | $303.89 | 15.88x | $4.5K | $121.9K | 381 | 351 |
| 2018 | $3.8K | $349.26 | 10.99x | $3.5K | $469.2K | 1.3K | 1.2K |
| 2019 | $2.4K | $321.33 | 7.57x | $2.1K | $643.7K | 2.1K | 1.8K |
| 2020 | $1.7K | $346.21 | 4.83x | $1.3K | $749.9K | 2.7K | 2.0K |
| 2021 | $1.9K | $316.83 | 6.00x | $1.6K | $1.2M | 4.3K | 3.7K |
| 2022 | $1.3K | $290.26 | 4.46x | $1.0K | $1.1M | 3.4K | 3.0K |
| 2023 | $1.5K | $330.68 | 4.41x | $1.1K | $994.4K | 3.3K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 4.1K | $2.8M | $688.62 | 5.67x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 2.1K | $453.0K | $219.04 | 6.07x |
| 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 | 586 | $337.0K | $575.01 | 5.94x |
| 15002 | Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) | 1.8K | $324.5K | $176.46 | 5.73x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.9K | $221.9K | $75.35 | 5.02x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 338 | $217.6K | $643.86 | 5.50x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 1.1K | $186.9K | $171.58 | 5.72x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $125.5K | $57.87 | 4.24x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 212 | $117.3K | $553.47 | 6.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $96.3K | $86.93 | 4.43x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 120 | $66.7K | $555.67 | 6.39x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 133 | $62.1K | $466.87 | 7.43x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 137 | $60.7K | $443.04 | 6.83x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 103 | $41.8K | $405.39 | 4.74x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 142 | $41.0K | $288.84 | 6.04x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 148 | $39.0K | $263.19 | 5.27x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 74 | $35.6K | $480.73 | 5.79x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 108 | $34.3K | $317.37 | 6.84x |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 32 | $27.2K | $848.55 | 3.76x |
| 36466 | Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 17 | $19.0K | $1.1K | 3.74x |
This provider submits charges 5.76 times higher than what Medicare actually pays.
A markup ratio of 5.76x means for every $100 Medicare pays, this provider initially charges $576. This is higher 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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