This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 666% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 182% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $890.22 | $345.62 | 2.58x | $544.60 | $76.1K | 230 | 228 |
| 2016 | $766.61 | $279.75 | 2.74x | $486.86 | $214.5K | 797 | 763 |
| 2017 | $993.43 | $383.42 | 2.59x | $610.01 | $398.9K | 1.1K | 1.0K |
| 2018 | $939.59 | $367.39 | 2.56x | $572.20 | $618.5K | 1.6K | 1.5K |
| 2019 | $1.1K | $438.31 | 2.45x | $635.12 | $694.0K | 1.6K | 1.5K |
| 2020 | $1.2K | $499.89 | 2.39x | $696.84 | $510.6K | 1.1K | 1.1K |
| 2021 | $979.89 | $410.07 | 2.39x | $569.82 | $573.4K | 1.3K | 1.2K |
| 2022 | $1.1K | $455.05 | 2.41x | $641.81 | $528.3K | 1.3K | 1.2K |
| 2023 | $1.9K | $405.10 | 4.66x | $1.5K | $582.8K | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.8K | $1.0M | $366.30 | 3.01x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.1K | $657.0K | $599.43 | 2.90x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.5K | $492.0K | $325.42 | 2.65x |
| 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 | 494 | $360.2K | $729.09 | 2.83x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 444 | $347.6K | $782.84 | 2.47x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 447 | $264.3K | $591.29 | 2.75x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 305 | $233.8K | $766.49 | 2.94x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 224 | $193.8K | $865.16 | 2.79x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 322 | $123.6K | $383.94 | 2.83x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 131 | $92.5K | $706.37 | 2.56x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 254 | $76.3K | $300.23 | 2.53x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 70 | $47.9K | $684.09 | 2.68x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 294 | $30.8K | $104.87 | 4.99x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 92 | $30.0K | $326.25 | 2.60x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 294 | $27.7K | $94.36 | 4.42x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 92 | $26.4K | $286.46 | 2.91x |
| 21235 | Obtaining ear cartilage for grafting | 52 | $23.6K | $454.45 | 2.86x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 29 | $17.8K | $615.15 | 2.26x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 93 | $16.9K | $181.64 | 2.72x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 248 | $16.7K | $67.50 | 2.35x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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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