This provider's $11.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
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 | $1.0K | $317.33 | 3.20x | $697.84 | $819.1K | 2.7K | 2.5K |
| 2015 | $998.80 | $342.66 | 2.91x | $656.14 | $933.9K | 3.0K | 2.8K |
| 2016 | $944.76 | $322.35 | 2.93x | $622.41 | $888.7K | 3.1K | 2.9K |
| 2017 | $1.1K | $396.42 | 2.85x | $731.41 | $954.7K | 3.0K | 2.8K |
| 2018 | $1.1K | $411.84 | 2.66x | $684.46 | $1.2M | 3.3K | 3.0K |
| 2019 | $1.1K | $427.71 | 2.62x | $693.17 | $1.1M | 3.2K | 3.0K |
| 2020 | $1.5K | $459.49 | 3.16x | $992.14 | $973.9K | 2.5K | 2.3K |
| 2021 | $1.7K | $478.01 | 3.62x | $1.3K | $1.3M | 2.9K | 2.7K |
| 2022 | $1.8K | $496.15 | 3.59x | $1.3K | $1.5M | 3.4K | 3.2K |
| 2023 | $1.9K | $472.91 | 4.01x | $1.4K | $1.3M | 3.1K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 2.1K | $2.4M | $1.1K | 2.49x |
| 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 | 2.7K | $1.7M | $621.12 | 2.70x |
| 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) | 7.6K | $793.6K | $104.68 | 7.99x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.3K | $752.3K | $591.45 | 2.76x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.1K | $667.4K | $591.11 | 2.88x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 1.2K | $629.6K | $536.31 | 3.39x |
| 15002 | Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) | 1.6K | $575.8K | $362.11 | 3.65x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 932 | $569.2K | $610.71 | 2.67x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.1K | $362.6K | $175.59 | 5.19x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.4K | $272.9K | $190.46 | 4.16x |
| 15572 | Creation of flap graft to scalp, arms, or legs | 279 | $265.9K | $953.11 | 2.91x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.4K | $239.0K | $170.13 | 4.62x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 486 | $231.7K | $476.72 | 3.27x |
| 21235 | Obtaining ear cartilage for grafting | 104 | $160.0K | $1.5K | 2.47x |
| 15733 | Creation of flap graft to head and/or neck | 108 | $130.5K | $1.2K | 2.85x |
| 11606 | Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs | 278 | $128.8K | $463.39 | 3.22x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 254 | $119.9K | $471.96 | 2.87x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 210 | $108.1K | $514.79 | 3.02x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 224 | $86.2K | $384.86 | 4.17x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.2K | $81.4K | $69.84 | 5.95x |
This provider submits charges 3.48 times higher than what Medicare actually pays.
A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. 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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