This provider's $13.5M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 71% 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 | $1.2K | $892.74 | 1.34x | $301.93 | $791.6K | 862 | 634 |
| 2015 | $1.1K | $838.64 | 1.34x | $286.47 | $959.2K | 1.1K | 717 |
| 2016 | $1.1K | $855.18 | 1.32x | $274.47 | $1.3M | 1.4K | 794 |
| 2017 | $1.1K | $821.32 | 1.37x | $301.00 | $1.3M | 1.6K | 700 |
| 2018 | $1.2K | $848.80 | 1.36x | $304.42 | $1.9M | 2.2K | 649 |
| 2019 | $1.2K | $888.93 | 1.37x | $327.74 | $1.7M | 1.9K | 523 |
| 2020 | $1.2K | $941.25 | 1.30x | $281.58 | $1.3M | 1.4K | 256 |
| 2021 | $1.2K | $934.19 | 1.31x | $288.03 | $1.3M | 1.4K | 243 |
| 2022 | $1.2K | $919.67 | 1.33x | $302.55 | $1.6M | 1.8K | 181 |
| 2023 | $1.2K | $906.45 | 1.35x | $315.50 | $1.4M | 1.5K | 108 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 15946 | Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure | 1.7K | $2.4M | $1.4K | 1.33x |
| 15738 | Muscle flap wound repair of leg | 1.6K | $1.7M | $1.1K | 1.35x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 1.9K | $1.6M | $869.78 | 1.32x |
| 15736 | Muscle flap wound repair of arm | 1.5K | $1.5M | $1.0K | 1.34x |
| 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 | 1.7K | $1.4M | $810.69 | 1.36x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 1.6K | $1.2M | $756.94 | 1.32x |
| 15734 | Muscle flap wound repair at trunk | 1.7K | $1.1M | $611.27 | 1.33x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 1.5K | $1.1M | $699.52 | 1.35x |
| 15733 | Creation of flap graft to head and/or neck | 1.0K | $923.6K | $890.60 | 1.35x |
| 15732 | Muscle flap wound repair at head and neck | 460 | $440.1K | $956.64 | 1.34x |
| 17107 | Destruction of skin growth (10.0 to 50.0 sq centimeters) | 286 | $105.4K | $368.60 | 1.41x |
This provider submits charges 1.34 times higher than what Medicare actually pays.
A markup ratio of 1.34x means for every $100 Medicare pays, this provider initially charges $134. This is lower 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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