This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery 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 | $624.37 | $203.72 | 3.06x | $420.65 | $367.3K | 3.7K | 3.0K |
| 2015 | $581.39 | $206.41 | 2.82x | $374.98 | $400.8K | 4.1K | 3.2K |
| 2016 | $646.12 | $213.39 | 3.03x | $432.73 | $356.8K | 4.0K | 3.1K |
| 2017 | $730.84 | $253.28 | 2.89x | $477.56 | $490.0K | 4.1K | 3.2K |
| 2018 | $726.03 | $257.88 | 2.82x | $468.15 | $585.5K | 3.5K | 2.7K |
| 2019 | $681.53 | $253.67 | 2.69x | $427.86 | $450.0K | 3.5K | 2.7K |
| 2020 | $702.10 | $267.34 | 2.63x | $434.76 | $471.9K | 3.8K | 2.9K |
| 2021 | $727.89 | $266.84 | 2.73x | $461.05 | $404.2K | 2.5K | 2.1K |
| 2022 | $768.88 | $280.00 | 2.75x | $488.88 | $347.2K | 1.2K | 1.0K |
| 2023 | $968.14 | $323.45 | 2.99x | $644.69 | $460.5K | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.1K | $650.3K | $598.27 | 2.54x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 1.0K | $544.5K | $544.54 | 2.72x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $393.4K | $54.06 | 2.90x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 479 | $388.2K | $810.35 | 2.41x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 477 | $295.1K | $618.63 | 2.68x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.2K | $250.9K | $78.94 | 2.97x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 427 | $200.2K | $468.90 | 2.92x |
| 17000 | Destruction of skin growth | 3.9K | $174.5K | $45.01 | 2.69x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 245 | $150.2K | $613.11 | 2.76x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 184 | $126.3K | $686.45 | 2.85x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 160 | $119.7K | $748.02 | 2.55x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.9K | $93.3K | $32.65 | 2.91x |
| 17004 | Destruction of 15 or more skin growths | 715 | $85.3K | $119.36 | 2.35x |
| 11104 | Punch biopsy of single skin lesion | 885 | $84.6K | $95.57 | 1.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 776 | $65.7K | $84.67 | 2.74x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 94 | $59.1K | $628.29 | 2.99x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 313 | $56.2K | $179.69 | 1.95x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 210 | $48.6K | $231.58 | 3.54x |
| 11100 | Biopsy of single growth of skin and/or tissue | 634 | $46.6K | $73.58 | 1.90x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 229 | $39.7K | $173.20 | 2.60x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. This is higher 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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