This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery providers nationally.
Medicare payments to this provider grew 1219% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 290% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $539.00 | $263.90 | 2.04x | $275.10 | $53.2K | 317 | 269 |
| 2016 | $445.00 | $218.96 | 2.03x | $226.04 | $207.7K | 1.3K | 957 |
| 2017 | $613.28 | $282.19 | 2.17x | $331.09 | $383.5K | 1.9K | 1.5K |
| 2018 | $637.56 | $293.64 | 2.17x | $343.92 | $458.5K | 2.1K | 1.7K |
| 2019 | $757.84 | $319.80 | 2.37x | $438.04 | $523.5K | 2.0K | 1.8K |
| 2020 | $911.32 | $331.73 | 2.75x | $579.59 | $499.8K | 1.8K | 1.6K |
| 2021 | $925.74 | $342.95 | 2.70x | $582.79 | $552.3K | 1.9K | 1.7K |
| 2022 | $867.74 | $304.43 | 2.85x | $563.31 | $583.8K | 2.0K | 1.9K |
| 2023 | $856.96 | $293.04 | 2.92x | $563.92 | $702.0K | 2.3K | 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 | 1.3K | $731.5K | $583.31 | 2.42x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 777 | $601.9K | $774.67 | 2.46x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 948 | $559.3K | $589.93 | 2.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.7K | $380.2K | $56.44 | 2.43x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 954 | $331.6K | $347.62 | 2.39x |
| 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 | 312 | $217.9K | $698.24 | 2.36x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 408 | $217.1K | $532.11 | 2.42x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 641 | $198.4K | $309.49 | 2.50x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 205 | $136.4K | $665.25 | 2.31x |
| 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) | 325 | $100.9K | $310.60 | 2.37x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 123 | $92.1K | $748.99 | 2.38x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 131 | $91.6K | $698.91 | 2.45x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 264 | $76.4K | $289.30 | 2.53x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 67 | $34.9K | $521.42 | 2.95x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 285 | $31.4K | $110.05 | 4.61x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 373 | $30.3K | $81.23 | 2.66x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 99 | $27.7K | $279.50 | 2.24x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 98 | $11.5K | $117.81 | 4.85x |
| 17000 | Destruction of skin growth | 287 | $10.7K | $37.15 | 3.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 115 | $8.8K | $76.41 | 2.35x |
This provider submits charges 2.46 times higher than what Medicare actually pays.
A markup ratio of 2.46x means for every $100 Medicare pays, this provider initially charges $246. 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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