This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 315% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 203% in 2015
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 | $1.2K | $512.87 | 2.42x | $728.72 | $198.4K | 642 | 601 |
| 2015 | $1.1K | $368.88 | 3.05x | $755.39 | $601.3K | 2.1K | 1.9K |
| 2016 | $1.1K | $353.46 | 3.23x | $789.26 | $708.5K | 2.7K | 2.3K |
| 2017 | $1.2K | $394.41 | 3.15x | $849.77 | $765.3K | 2.8K | 2.4K |
| 2018 | $1.3K | $401.03 | 3.13x | $853.93 | $600.7K | 1.3K | 1.2K |
| 2019 | $1.1K | $402.49 | 2.79x | $719.69 | $718.0K | 2.3K | 2.1K |
| 2020 | $1.1K | $384.72 | 2.76x | $677.81 | $590.3K | 2.0K | 1.7K |
| 2021 | $1.2K | $408.00 | 2.92x | $781.53 | $688.9K | 2.3K | 2.1K |
| 2022 | $1.7K | $481.12 | 3.49x | $1.2K | $825.4K | 2.7K | 2.3K |
| 2023 | $1.7K | $468.75 | 3.69x | $1.3K | $823.7K | 2.4K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.8K | $1.1M | $593.39 | 2.88x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.7K | $1.1M | $605.40 | 2.86x |
| 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 | 1.2K | $869.2K | $713.02 | 3.06x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 900 | $708.4K | $787.15 | 2.91x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.7K | $573.7K | $342.70 | 3.52x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.4K | $464.3K | $322.88 | 3.25x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 618 | $416.0K | $673.18 | 3.19x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 363 | $268.7K | $740.35 | 3.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.4K | $203.4K | $59.51 | 3.41x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 511 | $153.3K | $299.96 | 3.69x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 2.7K | $145.0K | $53.18 | 3.06x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $142.6K | $80.11 | 3.49x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 151 | $127.6K | $844.88 | 3.23x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 148 | $81.5K | $550.89 | 2.89x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.1K | $64.0K | $30.79 | 3.06x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 123 | $39.2K | $318.52 | 2.73x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 58 | $38.6K | $664.84 | 3.10x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 29 | $19.0K | $655.94 | 3.21x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 140 | $14.0K | $99.98 | 3.30x |
| 13122 | Repair of wound of scalp, arms, and/or legs | 74 | $7.9K | $107.20 | 2.69x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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