This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Their average markup ratio of 6.1x is significantly above the specialty median of 4.1x.
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 | $1.3K | $296.14 | 4.50x | $1.0K | $493.8K | 1.9K | 1.6K |
| 2015 | $1.4K | $295.41 | 4.73x | $1.1K | $489.3K | 2.0K | 1.7K |
| 2016 | $1.6K | $335.10 | 4.72x | $1.2K | $500.8K | 2.1K | 1.8K |
| 2017 | $1.4K | $293.58 | 4.64x | $1.1K | $472.7K | 2.0K | 1.7K |
| 2018 | $1.4K | $295.83 | 4.81x | $1.1K | $464.5K | 2.0K | 1.6K |
| 2019 | $1.4K | $297.78 | 4.77x | $1.1K | $485.2K | 1.9K | 1.6K |
| 2020 | $2.7K | $320.80 | 8.34x | $2.4K | $407.2K | 1.7K | 1.3K |
| 2021 | $3.2K | $307.05 | 10.41x | $2.9K | $481.8K | 1.9K | 1.6K |
| 2022 | $3.3K | $333.36 | 9.97x | $3.0K | $471.2K | 1.7K | 1.6K |
| 2023 | $3.2K | $287.17 | 11.20x | $2.9K | $429.5K | 1.6K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 1.2K | $905.2K | $735.30 | 6.45x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.3K | $690.2K | $520.90 | 5.42x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.2K | $596.1K | $517.48 | 6.14x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 584 | $350.0K | $599.27 | 5.57x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 728 | $344.2K | $472.85 | 5.48x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 538 | $341.5K | $634.81 | 5.53x |
| 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 | 472 | $297.1K | $629.42 | 6.06x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 437 | $216.2K | $494.69 | 9.50x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.5K | $211.3K | $60.38 | 2.48x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.1K | $118.3K | $38.48 | 3.25x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.1K | $89.1K | $80.59 | 2.18x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 140 | $77.4K | $552.96 | 6.58x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 339 | $76.9K | $226.72 | 8.88x |
| 11102 | Tangential biopsy of single skin lesion | 782 | $62.7K | $80.23 | 11.22x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 131 | $55.6K | $424.63 | 5.47x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 232 | $44.2K | $190.53 | 22.55x |
| 17000 | Destruction of skin growth | 837 | $40.7K | $48.58 | 6.70x |
| 17004 | Destruction of 15 or more skin growths | 233 | $29.8K | $127.81 | 6.02x |
| 15733 | Creation of flap graft to head and/or neck | 30 | $26.4K | $878.59 | 5.93x |
| 67810 | Biopsy of eyelid | 141 | $20.1K | $142.57 | 3.51x |
This provider submits charges 6.1 times higher than what Medicare actually pays.
A markup ratio of 6.1x means for every $100 Medicare pays, this provider initially charges $610. 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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