This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 103% from 2014 to 2023.
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 | $708.36 | $169.34 | 4.18x | $539.02 | $456.8K | 3.8K | 2.5K |
| 2015 | $697.65 | $165.77 | 4.21x | $531.88 | $537.0K | 4.4K | 3.0K |
| 2016 | $701.12 | $159.62 | 4.39x | $541.50 | $740.2K | 6.1K | 4.0K |
| 2017 | $735.36 | $178.92 | 4.11x | $556.44 | $708.1K | 5.5K | 3.5K |
| 2018 | $781.96 | $178.98 | 4.37x | $602.98 | $765.0K | 5.8K | 3.8K |
| 2019 | $839.30 | $201.79 | 4.16x | $637.51 | $1.1M | 7.5K | 4.6K |
| 2020 | $798.97 | $198.17 | 4.03x | $600.80 | $912.9K | 6.6K | 4.0K |
| 2021 | $876.26 | $204.39 | 4.29x | $671.87 | $1.0M | 6.7K | 4.7K |
| 2022 | $865.13 | $197.60 | 4.38x | $667.53 | $992.5K | 6.4K | 4.6K |
| 2023 | $847.74 | $194.62 | 4.36x | $653.12 | $928.6K | 6.3K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.0K | $726.2K | $371.85 | 3.63x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 6.1K | $622.5K | $102.43 | 3.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.4K | $583.6K | $91.10 | 3.39x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $504.0K | $423.54 | 3.40x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $492.4K | $67.83 | 3.12x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.3K | $437.2K | $345.09 | 3.39x |
| 13160 | Second repair of surgical wound | 626 | $381.2K | $608.97 | 3.90x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.8K | $339.1K | $88.71 | 3.53x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 394 | $245.6K | $623.46 | 3.74x |
| 17004 | Destruction of 15 or more skin growths | 1.6K | $224.3K | $142.13 | 3.57x |
| 13120 | Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs | 714 | $215.1K | $301.23 | 3.55x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 558 | $208.5K | $373.63 | 3.41x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 4.2K | $193.3K | $46.52 | 4.25x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 570 | $187.3K | $328.58 | 3.70x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 877 | $172.6K | $196.78 | 3.48x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.1K | $149.8K | $133.18 | 6.39x |
| 15002 | Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) | 573 | $144.9K | $252.84 | 4.05x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 992 | $131.6K | $132.70 | 6.17x |
| 27603 | Drainage of abscess or blood collection at lower leg or ankle | 418 | $124.4K | $297.69 | 5.52x |
| 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) | 471 | $124.4K | $264.14 | 4.53x |
This provider submits charges 3.94 times higher than what Medicare actually pays.
A markup ratio of 3.94x means for every $100 Medicare pays, this provider initially charges $394. 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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