This provider's $6.0M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center 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 | $577.58 | $298.03 | 1.94x | $279.55 | $515.4K | 1.8K | 1.6K |
| 2015 | $656.33 | $313.13 | 2.10x | $343.20 | $566.3K | 1.8K | 1.6K |
| 2016 | $613.95 | $253.23 | 2.42x | $360.72 | $601.9K | 2.8K | 2.4K |
| 2017 | $654.93 | $239.17 | 2.74x | $415.76 | $586.8K | 3.3K | 2.9K |
| 2018 | $661.02 | $248.33 | 2.66x | $412.69 | $622.6K | 3.4K | 3.0K |
| 2019 | $789.26 | $243.97 | 3.24x | $545.29 | $652.6K | 3.8K | 3.4K |
| 2020 | $775.16 | $248.06 | 3.12x | $527.10 | $624.6K | 3.8K | 3.5K |
| 2021 | $793.76 | $217.53 | 3.65x | $576.23 | $583.5K | 3.5K | 3.2K |
| 2022 | $732.97 | $219.94 | 3.33x | $513.03 | $578.6K | 3.4K | 3.1K |
| 2023 | $921.37 | $258.51 | 3.56x | $662.86 | $637.5K | 3.1K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11644 | Removal of malignant growth (3.1 to 4.0 centimeters) of the face, ears, eyelids, nose, or lips | 2.9K | $1.2M | $409.97 | 2.18x |
| 11624 | Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals | 1.9K | $803.6K | $420.50 | 2.18x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.8K | $616.4K | $129.45 | 7.04x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 2.7K | $597.0K | $220.71 | 3.16x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 659 | $403.5K | $612.36 | 2.02x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.9K | $356.9K | $122.24 | 6.90x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 1.2K | $193.1K | $164.48 | 5.13x |
| 11606 | Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs | 414 | $181.5K | $438.41 | 2.09x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 228 | $141.9K | $622.23 | 2.04x |
| 11643 | Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.4K | $137.1K | $98.39 | 6.14x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.6K | $135.5K | $86.33 | 3.11x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.4K | $127.9K | $90.42 | 3.62x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.3K | $122.1K | $95.34 | 5.26x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.0K | $115.2K | $111.85 | 7.55x |
| 11646 | Removal of malignant growth (over 4.0 centimeters) of the face, ears, eyelids, nose, or lips | 150 | $110.0K | $733.24 | 1.58x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 208 | $109.3K | $525.35 | 1.41x |
| 11626 | Removal of malignant growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals | 120 | $89.1K | $742.73 | 1.73x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.1K | $75.0K | $69.67 | 5.10x |
| 11623 | Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals | 807 | $74.2K | $91.98 | 5.79x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 375 | $63.3K | $168.87 | 4.82x |
This provider submits charges 3.68 times higher than what Medicare actually pays.
A markup ratio of 3.68x means for every $100 Medicare pays, this provider initially charges $368. 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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