This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 823% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 300% in 2016
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 | $397.27 | $131.78 | 3.01x | $265.49 | $48.4K | 520 | 423 |
| 2015 | $606.75 | $148.48 | 4.09x | $458.27 | $39.1K | 411 | 368 |
| 2016 | $670.43 | $257.91 | 2.60x | $412.52 | $156.2K | 681 | 631 |
| 2017 | $700.72 | $320.94 | 2.18x | $379.78 | $443.0K | 1.3K | 1.2K |
| 2018 | $664.37 | $344.88 | 1.93x | $319.49 | $504.9K | 1.4K | 1.3K |
| 2019 | $612.26 | $359.07 | 1.71x | $253.19 | $515.4K | 1.4K | 1.3K |
| 2020 | $393.94 | $201.56 | 1.95x | $192.38 | $492.0K | 2.2K | 2.1K |
| 2021 | $468.42 | $201.71 | 2.32x | $266.71 | $570.0K | 2.6K | 2.4K |
| 2022 | $503.71 | $217.94 | 2.31x | $285.77 | $525.4K | 2.3K | 2.2K |
| 2023 | $481.20 | $208.79 | 2.30x | $272.41 | $447.0K | 2.0K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.5K | $906.5K | $360.17 | 1.75x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 743 | $579.1K | $779.45 | 1.84x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.8K | $412.3K | $226.65 | 1.91x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 811 | $250.8K | $309.19 | 1.85x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 360 | $211.1K | $586.45 | 1.75x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.8K | $176.8K | $96.58 | 3.59x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 602 | $173.1K | $287.56 | 1.75x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 331 | $127.4K | $384.98 | 1.86x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 396 | $120.7K | $304.68 | 2.02x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 142 | $80.5K | $566.63 | 1.62x |
| 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 | 98 | $69.7K | $711.47 | 1.60x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 207 | $59.8K | $288.95 | 1.92x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 721 | $56.1K | $77.86 | 4.04x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 79 | $55.1K | $697.49 | 1.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 962 | $49.4K | $51.34 | 3.69x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 81 | $46.9K | $579.25 | 1.92x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 211 | $33.0K | $156.58 | 2.65x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 282 | $32.9K | $116.83 | 3.61x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 42 | $27.6K | $657.06 | 1.58x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 143 | $24.5K | $171.65 | 2.50x |
This provider submits charges 2.05 times higher than what Medicare actually pays.
A markup ratio of 2.05x means for every $100 Medicare pays, this provider initially charges $205. 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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