This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $1.5K | $689.27 | 2.19x | $822.45 | $856.7K | 1.7K | 1.6K |
| 2015 | $1.2K | $578.95 | 2.12x | $646.41 | $589.1K | 1.4K | 1.2K |
| 2016 | $1.1K | $510.90 | 2.15x | $588.64 | $651.6K | 1.4K | 1.3K |
| 2017 | $1.1K | $515.75 | 2.05x | $539.61 | $705.2K | 1.3K | 1.2K |
| 2018 | $1.3K | $608.61 | 2.18x | $716.59 | $770.0K | 1.4K | 1.3K |
| 2019 | $1.3K | $577.53 | 2.20x | $690.33 | $767.9K | 1.4K | 1.3K |
| 2020 | $1.3K | $614.67 | 2.07x | $660.46 | $776.1K | 1.4K | 1.2K |
| 2021 | $1.4K | $650.89 | 2.15x | $746.26 | $956.0K | 1.4K | 1.3K |
| 2022 | $1.6K | $704.60 | 2.23x | $868.92 | $943.0K | 1.4K | 1.3K |
| 2023 | $890.23 | $370.60 | 2.40x | $519.63 | $1.0M | 2.5K | 2.1K |
| 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 | 2.8K | $2.1M | $727.77 | 2.29x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.7K | $1.2M | $733.63 | 2.46x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 1.8K | $1.2M | $671.59 | 2.14x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 1.0K | $833.4K | $829.21 | 2.09x |
| 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 | 828 | $735.3K | $888.09 | 1.95x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 668 | $407.1K | $609.41 | 2.11x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 466 | $363.1K | $779.29 | 1.95x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 325 | $338.1K | $1.0K | 2.45x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 352 | $332.8K | $945.46 | 2.17x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 165 | $154.9K | $938.70 | 1.78x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.3K | $84.4K | $64.35 | 2.33x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.0K | $80.0K | $39.88 | 3.11x |
| 15738 | Muscle flap wound repair of leg | 38 | $50.7K | $1.3K | 2.51x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 460 | $44.5K | $96.73 | 2.10x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 473 | $36.1K | $76.32 | 1.89x |
| 15630 | Transfer of skin flap to eyelids, nose, ears, or lips | 54 | $23.3K | $430.62 | 2.35x |
| 15732 | Muscle flap wound repair at head and neck | 13 | $16.0K | $1.2K | 2.66x |
| 17110 | Destruction of skin growth, 1-14 growths | 122 | $13.0K | $106.65 | 2.37x |
| 17000 | Destruction of precancer skin growth, 1 growth | 150 | $6.7K | $44.54 | 3.05x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 41 | $6.7K | $162.52 | 2.77x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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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