This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Plastic and Reconstructive Surgery 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 | $617.03 | $295.16 | 2.09x | $321.87 | $743.5K | 3.5K | 2.7K |
| 2015 | $618.27 | $295.87 | 2.09x | $322.40 | $697.8K | 3.5K | 2.6K |
| 2016 | $600.13 | $277.97 | 2.16x | $322.16 | $538.7K | 2.9K | 2.2K |
| 2017 | $514.87 | $224.40 | 2.29x | $290.47 | $521.1K | 2.9K | 2.1K |
| 2018 | $548.18 | $243.77 | 2.25x | $304.41 | $432.7K | 2.4K | 1.9K |
| 2019 | $530.94 | $233.23 | 2.28x | $297.71 | $377.3K | 2.2K | 1.6K |
| 2020 | $487.70 | $216.90 | 2.25x | $270.80 | $311.8K | 1.9K | 1.4K |
| 2021 | $499.40 | $228.96 | 2.18x | $270.44 | $320.3K | 1.8K | 1.3K |
| 2022 | $525.81 | $237.15 | 2.22x | $288.66 | $345.8K | 1.7K | 1.3K |
| 2023 | $508.09 | $252.02 | 2.02x | $256.07 | $318.2K | 1.6K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 2.1K | $1.3M | $624.20 | 1.76x |
| 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 | 746 | $349.8K | $468.90 | 2.02x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 481 | $297.8K | $619.20 | 1.65x |
| 15731 | Creation of flap graft to nose, forehead, temple, or scalp | 347 | $278.5K | $802.51 | 1.44x |
| 15572 | Creation of flap graft to scalp, arms, or legs | 736 | $248.4K | $337.50 | 2.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $232.2K | $76.24 | 1.47x |
| 15574 | Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet | 675 | $213.6K | $316.39 | 2.92x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 520 | $212.1K | $407.90 | 2.50x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.0K | $155.0K | $76.43 | 1.35x |
| 15570 | Creation of flap graft to trunk | 368 | $124.3K | $337.75 | 2.77x |
| 17000 | Destruction of skin growth | 2.7K | $109.3K | $40.04 | 1.68x |
| 11104 | Punch biopsy of single skin lesion | 1.1K | $102.1K | $90.88 | 1.38x |
| 15732 | Muscle flap wound repair at head and neck | 98 | $87.5K | $892.95 | 1.49x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 686 | $76.5K | $111.47 | 1.49x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 101 | $65.8K | $651.62 | 1.90x |
| 15100 | Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children) | 217 | $65.0K | $299.67 | 2.95x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 806 | $63.2K | $78.47 | 3.62x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 828 | $61.2K | $73.96 | 3.68x |
| 15738 | Muscle flap wound repair of leg | 61 | $60.9K | $998.97 | 1.43x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 161 | $56.8K | $353.02 | 2.69x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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