This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Otolaryngology providers nationally.
Medicare payments to this provider grew 180% 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 | $1.7K | $320.24 | 5.28x | $1.4K | $286.0K | 1.3K | 1.1K |
| 2015 | $964.99 | $286.92 | 3.36x | $678.07 | $383.0K | 1.6K | 1.3K |
| 2016 | $1.3K | $398.37 | 3.31x | $919.39 | $424.4K | 1.4K | 1.2K |
| 2017 | $1.8K | $545.73 | 3.24x | $1.2K | $559.0K | 1.7K | 1.5K |
| 2018 | $1.3K | $370.52 | 3.38x | $883.58 | $513.6K | 1.7K | 1.4K |
| 2019 | $1.3K | $381.93 | 3.31x | $883.05 | $577.8K | 1.9K | 1.6K |
| 2020 | $1.3K | $401.27 | 3.23x | $894.08 | $543.7K | 1.6K | 1.4K |
| 2021 | $1.4K | $435.27 | 3.17x | $944.96 | $706.6K | 2.0K | 1.7K |
| 2022 | $1.2K | $385.05 | 3.24x | $861.70 | $714.4K | 2.3K | 1.9K |
| 2023 | $609.52 | $188.61 | 3.23x | $420.91 | $799.7K | 4.6K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 3.5K | $1.7M | $501.71 | 3.42x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 546 | $414.0K | $758.23 | 3.40x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.1K | $343.2K | $305.10 | 3.29x |
| 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 | 461 | $327.6K | $710.71 | 3.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $277.6K | $123.25 | 3.28x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 477 | $275.4K | $577.33 | 3.24x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 582 | $271.4K | $466.39 | 3.52x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 430 | $250.2K | $581.75 | 3.38x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 275 | $231.4K | $841.61 | 3.26x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.6K | $214.9K | $84.16 | 3.25x |
| Q4186 | Epifix, per square centimeter | 1.3K | $158.5K | $118.28 | 3.38x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 236 | $157.1K | $665.62 | 3.21x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 1.1K | $133.3K | $122.85 | 3.13x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $108.7K | $60.14 | 3.23x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 203 | $71.7K | $352.98 | 3.36x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 707 | $63.2K | $89.43 | 3.45x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 91 | $62.0K | $681.45 | 3.35x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 87 | $42.3K | $486.17 | 3.88x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 498 | $39.1K | $78.51 | 3.35x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 67 | $34.8K | $519.52 | 3.30x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. 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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