This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 3036% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 436% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $420.59 | $144.66 | 2.91x | $275.93 | $195.9K | 1.4K | 9 |
| 2021 | $383.30 | $128.07 | 2.99x | $255.23 | $1.1M | 8.2K | 19 |
| 2022 | $521.43 | $290.99 | 1.79x | $230.44 | $2.0M | 6.8K | 18 |
| 2023 | $845.26 | $486.23 | 1.74x | $359.03 | $6.1M | 12.6K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 4.9K | $4.7M | $959.95 | 1.36x |
| Q4188 | Amnioarmor, per square centimeter | 1.7K | $997.7K | $602.50 | 1.28x |
| Q4158 | Kerecis omega3, per square centimeter | 2.0K | $951.3K | $472.57 | 1.27x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 3.6K | $731.6K | $203.63 | 2.50x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 5.6K | $605.4K | $108.41 | 3.69x |
| 97610 | Therapy procedure using ultrasound | 1.1K | $460.6K | $418.33 | 3.94x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 1.8K | $201.5K | $114.86 | 3.87x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 1.4K | $130.4K | $90.52 | 2.94x |
| 11044 | Removal of bone, 20.0 sq cm or less | 425 | $118.5K | $278.81 | 2.50x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 761 | $93.3K | $122.58 | 3.65x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 1.1K | $69.2K | $64.83 | 2.49x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 774 | $55.2K | $71.38 | 3.66x |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 622 | $34.6K | $55.67 | 4.53x |
| 11047 | Removal of skin and bone | 296 | $31.9K | $107.86 | 2.53x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 359 | $31.4K | $87.53 | 3.38x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 197 | $25.4K | $129.15 | 4.39x |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | 269 | $22.2K | $82.47 | 3.77x |
| 17250 | Application of chemical to stop tissue regrowth in wound | 446 | $22.2K | $49.71 | 3.80x |
| 17000 | Destruction of precancer skin growth, 1 growth | 341 | $19.8K | $58.03 | 2.60x |
| 17110 | Destruction of up to 14 skin growths | 242 | $19.0K | $78.59 | 3.24x |
This provider submits charges 1.91 times higher than what Medicare actually pays.
A markup ratio of 1.91x means for every $100 Medicare pays, this provider initially charges $191. This is lower 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.
Other Plastic and Reconstructive Surgery providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Johnson Lee, M.D. | Beverly Hills, CA | $37.6M | ⚠️ Flagged |
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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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