This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Maxillofacial Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 291% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $881.75 | $382.65 | 2.30x | $499.10 | $382.4K | 822 | 738 |
| 2015 | $813.40 | $328.15 | 2.48x | $485.25 | $425.1K | 1.0K | 960 |
| 2016 | $699.52 | $292.52 | 2.39x | $407.00 | $723.5K | 4.0K | 1.7K |
| 2017 | $574.71 | $260.29 | 2.21x | $314.42 | $761.1K | 6.0K | 1.8K |
| 2018 | $597.34 | $263.48 | 2.27x | $333.86 | $639.0K | 5.0K | 1.6K |
| 2019 | $760.29 | $280.18 | 2.71x | $480.11 | $638.1K | 5.0K | 1.7K |
| 2020 | $949.12 | $291.70 | 3.25x | $657.42 | $550.3K | 3.9K | 1.3K |
| 2021 | $568.25 | $160.47 | 3.54x | $407.78 | $24.6K | 207 | 115 |
| 2022 | $537.00 | $253.91 | 2.11x | $283.09 | $24.0K | 105 | 103 |
| 2023 | $738.74 | $276.01 | 2.68x | $462.73 | $94.0K | 458 | 348 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 1.6K | $1.0M | $638.70 | 2.25x |
| 77280 | Management of radiation therapy simulation, simple | 4.6K | $956.0K | $205.76 | 2.36x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 468 | $364.3K | $778.37 | 2.33x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 472 | $330.2K | $699.63 | 2.21x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.7K | $257.3K | $54.84 | 2.78x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 302 | $194.9K | $645.42 | 2.12x |
| 77290 | Management of radiation therapy, simulation, complex | 478 | $184.0K | $384.91 | 2.30x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 226 | $164.8K | $729.00 | 2.27x |
| 77401 | Radiation treatment delivery, superficial | 7.5K | $140.1K | $18.64 | 3.15x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 376 | $135.5K | $360.44 | 2.77x |
| 15770 | Creation of skin, fat and muscle graft | 351 | $89.3K | $254.54 | 3.93x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $83.4K | $77.15 | 2.40x |
| 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) | 135 | $75.8K | $561.81 | 2.49x |
| 17000 | Destruction of skin growth | 1.2K | $45.6K | $39.04 | 3.94x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 87 | $31.3K | $359.77 | 3.47x |
| 77300 | Calculation of radiation therapy dose | 526 | $26.8K | $51.02 | 2.64x |
| 11100 | Biopsy of single growth of skin and/or tissue | 357 | $24.3K | $68.08 | 2.22x |
| 15786 | Scraping of skin growth | 125 | $21.4K | $171.13 | 2.52x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 93 | $15.8K | $170.27 | 2.59x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 31 | $14.8K | $477.99 | 2.61x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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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