This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Surgical Oncology 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 | $1.6K | $405.93 | 3.83x | $1.1K | $421.1K | 1.7K | 1.6K |
| 2015 | $1.6K | $429.64 | 3.71x | $1.2K | $446.4K | 1.8K | 1.7K |
| 2016 | $1.4K | $404.67 | 3.58x | $1.0K | $430.9K | 1.8K | 1.7K |
| 2017 | $1.3K | $433.77 | 2.95x | $845.92 | $502.9K | 1.9K | 1.8K |
| 2018 | $1.3K | $443.79 | 2.96x | $870.11 | $517.3K | 1.9K | 1.8K |
| 2019 | $1.3K | $435.11 | 3.02x | $880.19 | $497.4K | 1.8K | 1.7K |
| 2020 | $1.3K | $461.20 | 2.91x | $880.58 | $507.4K | 1.7K | 1.7K |
| 2021 | $1.3K | $453.47 | 2.82x | $826.12 | $445.8K | 1.5K | 1.5K |
| 2022 | $1.2K | $414.61 | 2.93x | $801.09 | $442.4K | 1.5K | 1.5K |
| 2023 | $1.1K | $377.12 | 3.04x | $769.08 | $409.9K | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 21016 | Removal of (2 centimeters or greater) soft tissue growth of face or scalp | 736 | $633.0K | $860.07 | 2.80x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 988 | $393.0K | $397.81 | 5.16x |
| 21935 | Removal (less than 5 centimeters) tissue growth of back or flank | 395 | $347.0K | $878.43 | 2.78x |
| 25078 | Removal (3 centimeters or greater) tissue growth at forearm and/or wrist | 232 | $237.9K | $1.0K | 2.72x |
| 23077 | Removal (less than 5 centimeters) tissue growth of shoulder area | 240 | $237.8K | $990.82 | 2.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $218.1K | $130.43 | 2.84x |
| 21936 | Removal (5 centimeters or greater) tissue growth of back or flank | 169 | $214.2K | $1.3K | 2.72x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $200.3K | $169.17 | 2.77x |
| 21557 | Removal of (less than 5 centimeters) growth of neck or front of chest | 238 | $185.4K | $779.04 | 2.82x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 820 | $159.4K | $194.44 | 2.67x |
| 27615 | Removal (less than 5 centimeters) tissue growth of leg or ankle | 178 | $158.2K | $888.61 | 2.75x |
| 23078 | Removal (5 centimeters or greater) tissue growth of shoulder area | 121 | $156.2K | $1.3K | 2.72x |
| 24077 | Removal (less than 5 centimeters) tissue growth of upper arm or elbow | 154 | $141.7K | $920.00 | 2.71x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $137.8K | $83.59 | 2.99x |
| 38900 | Lymph node imaging during surgery | 972 | $123.0K | $126.59 | 2.71x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 565 | $117.3K | $207.70 | 5.28x |
| 21558 | Removal of (5 centimeters or greater) growth of neck or front of chest | 92 | $109.6K | $1.2K | 2.80x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 909 | $104.3K | $114.78 | 5.47x |
| 24079 | Removal (5 centimeters or greater) tissue growth of upper arm or elbow | 83 | $97.9K | $1.2K | 2.63x |
| 15120 | Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) | 231 | $73.8K | $319.45 | 5.16x |
This provider submits charges 3.3 times higher than what Medicare actually pays.
A markup ratio of 3.3x means for every $100 Medicare pays, this provider initially charges $330. 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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