This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 96% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 885% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $789.56 | $318.15 | 2.48x | $471.41 | $489.2K | 1.5K | 1.4K |
| 2015 | $865.91 | $312.95 | 2.77x | $552.96 | $249.6K | 779 | 718 |
| 2017 | $704.31 | $347.43 | 2.03x | $356.88 | $232.5K | 646 | 598 |
| 2018 | $738.16 | $385.07 | 1.92x | $353.09 | $355.9K | 1.0K | 921 |
| 2019 | $774.57 | $378.96 | 2.04x | $395.61 | $58.1K | 160 | 145 |
| 2020 | $1.1K | $466.57 | 2.46x | $682.80 | $95.0K | 243 | 230 |
| 2021 | $853.87 | $350.40 | 2.44x | $503.47 | $935.6K | 2.5K | 2.1K |
| 2022 | $803.25 | $283.72 | 2.83x | $519.53 | $1.1M | 3.2K | 2.6K |
| 2023 | $679.20 | $247.34 | 2.75x | $431.86 | $960.5K | 3.5K | 2.6K |
| 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) | 4.4K | $1.7M | $391.14 | 2.81x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.0K | $628.0K | $314.01 | 2.20x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 352 | $293.4K | $833.44 | 2.35x |
| 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 | 412 | $282.3K | $685.09 | 2.23x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 394 | $272.2K | $690.92 | 2.47x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 328 | $236.2K | $720.01 | 2.16x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $212.0K | $173.60 | 4.51x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 493 | $202.9K | $411.66 | 2.62x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 230 | $125.9K | $547.43 | 2.11x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 493 | $84.5K | $171.41 | 4.21x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 124 | $82.7K | $666.86 | 2.12x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 141 | $74.3K | $527.29 | 2.05x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 353 | $61.6K | $174.41 | 4.75x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 155 | $47.7K | $307.97 | 2.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 642 | $42.8K | $66.69 | 2.45x |
| 11102 | Tangential biopsy of single skin lesion | 343 | $18.8K | $54.89 | 3.44x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 95 | $17.5K | $184.52 | 3.69x |
| 15732 | Muscle flap wound repair at head and neck | 15 | $12.8K | $851.08 | 2.47x |
| 14302 | Repair of wound by transferring skin, each additional 30.0 sq cm | 74 | $12.5K | $168.62 | 2.39x |
| 15740 | Creation of skin and tissue graft | 19 | $12.0K | $633.13 | 1.89x |
This provider submits charges 2.67 times higher than what Medicare actually pays.
A markup ratio of 2.67x means for every $100 Medicare pays, this provider initially charges $267. 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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