This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Otolaryngology 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 | $643.71 | $212.86 | 3.02x | $430.85 | $417.4K | 2.0K | 1.8K |
| 2015 | $665.30 | $221.99 | 3.00x | $443.31 | $394.0K | 2.0K | 1.7K |
| 2016 | $691.73 | $229.32 | 3.02x | $462.41 | $441.1K | 2.1K | 1.9K |
| 2017 | $736.04 | $233.51 | 3.15x | $502.53 | $490.8K | 2.2K | 2.0K |
| 2018 | $819.98 | $274.64 | 2.99x | $545.34 | $502.5K | 2.2K | 2.0K |
| 2019 | $684.82 | $231.26 | 2.96x | $453.56 | $474.7K | 2.1K | 1.8K |
| 2020 | $787.13 | $276.97 | 2.84x | $510.16 | $328.6K | 1.3K | 1.2K |
| 2021 | $765.85 | $270.99 | 2.83x | $494.86 | $408.9K | 1.8K | 1.6K |
| 2022 | $740.15 | $246.56 | 3.00x | $493.59 | $447.0K | 1.9K | 1.7K |
| 2023 | $749.70 | $240.48 | 3.12x | $509.22 | $426.0K | 1.9K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 1.4K | $895.1K | $645.85 | 2.40x |
| 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) | 2.7K | $593.7K | $218.92 | 2.74x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 490 | $272.8K | $556.81 | 2.79x |
| 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 | 581 | $259.8K | $447.23 | 2.97x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 571 | $258.7K | $453.07 | 2.68x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 602 | $226.9K | $376.98 | 2.94x |
| 15733 | Creation of flap graft to head and/or neck | 229 | $193.7K | $845.80 | 2.62x |
| 15732 | Muscle flap wound repair at head and neck | 198 | $178.8K | $902.84 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.1K | $174.4K | $55.99 | 1.58x |
| 15572 | Creation of flap graft to scalp, arms, or legs | 369 | $136.8K | $370.79 | 3.60x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 740 | $133.1K | $179.81 | 2.16x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $119.4K | $82.39 | 1.68x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 344 | $110.8K | $321.97 | 3.07x |
| 15576 | Creation of flap graft to eyelids, nose, ears, lips, or mouth | 273 | $79.9K | $292.81 | 3.78x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 216 | $74.6K | $345.15 | 3.20x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 214 | $57.9K | $270.64 | 3.86x |
| 21235 | Obtaining ear cartilage for grafting | 237 | $55.2K | $232.72 | 4.73x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.2K | $45.1K | $38.97 | 1.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 414 | $38.5K | $92.88 | 1.44x |
| 11100 | Biopsy of single growth of skin and/or tissue | 612 | $37.4K | $61.18 | 2.34x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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