This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 207% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 61% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $966.53 | $229.61 | 4.21x | $736.92 | $178.9K | 1.2K | 1.0K |
| 2015 | $857.37 | $187.30 | 4.58x | $670.07 | $254.6K | 2.0K | 1.7K |
| 2016 | $921.23 | $208.41 | 4.42x | $712.82 | $282.0K | 2.2K | 2.0K |
| 2017 | $809.68 | $204.32 | 3.96x | $605.36 | $322.4K | 2.5K | 2.2K |
| 2018 | $835.23 | $192.01 | 4.35x | $643.22 | $449.5K | 4.0K | 3.5K |
| 2019 | $826.83 | $191.75 | 4.31x | $635.08 | $481.0K | 4.5K | 3.8K |
| 2020 | $811.52 | $194.10 | 4.18x | $617.42 | $426.2K | 3.7K | 3.3K |
| 2021 | $721.45 | $171.53 | 4.21x | $549.92 | $685.5K | 5.3K | 4.7K |
| 2022 | $716.91 | $169.75 | 4.22x | $547.16 | $643.2K | 5.6K | 4.9K |
| 2023 | $694.13 | $173.02 | 4.01x | $521.11 | $549.7K | 5.0K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.5K | $471.6K | $85.21 | 3.20x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.3K | $382.4K | $292.16 | 2.08x |
| 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 | 521 | $328.8K | $631.05 | 6.13x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 391 | $275.5K | $704.66 | 3.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.3K | $263.9K | $61.29 | 3.07x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 965 | $211.0K | $218.69 | 3.15x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.4K | $187.4K | $78.12 | 3.80x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $184.5K | $119.36 | 3.63x |
| 17000 | Destruction of skin growth | 3.9K | $180.2K | $46.73 | 3.59x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 724 | $180.0K | $248.57 | 2.14x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 258 | $152.2K | $589.92 | 3.24x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 255 | $127.8K | $501.06 | 4.41x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 152 | $109.3K | $719.02 | 6.25x |
| 17110 | Destruction of up to 14 skin growths | 1.2K | $101.0K | $83.09 | 4.31x |
| 11106 | Incisional biopsy of single skin lesion | 725 | $89.3K | $123.11 | 2.44x |
| 11104 | Punch biopsy of single skin lesion | 965 | $88.6K | $91.84 | 2.61x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.2K | $87.7K | $74.74 | 2.89x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 178 | $86.5K | $486.00 | 3.14x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 217 | $75.0K | $345.47 | 4.43x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 110 | $57.0K | $518.05 | 5.25x |
This provider submits charges 3.7 times higher than what Medicare actually pays.
A markup ratio of 3.7x means for every $100 Medicare pays, this provider initially charges $370. 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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