Medicare spending analysis for Plastic and Reconstructive Surgery providers
Plastic and Reconstructive Surgery accounts for $1.4B in Medicare payments across 35.4K providers.
The specialty's average markup of 4.1x is above the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $131.6M | 1.4M | 3.8K | — |
| 2015 | $132.8M | 1.5M | 3.8K | +0.9% |
| 2016 | $135.3M | 1.5M | 3.8K | +1.9% |
| 2017 | $136.3M | 1.5M | 3.7K | +0.7% |
| 2018 | $140.2M | 1.5M | 3.7K | +2.9% |
| 2019 | $143.7M | 1.5M | 3.7K | +2.5% |
| 2020 | $128.4M | 1.3M | 3.3K | -10.6% |
| 2021 | $149.8M | 1.3M | 3.3K | +16.6% |
| 2022 | $157.2M | 1.3M | 3.2K | +5.0% |
| 2023 | $180.0M | 1.3M | 3.1K | +14.5% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Johnson Lee | CA | $22.5M | 38.6K | $581.17 |
| 2 | Som Kohanzadeh | CA | $14.7M | 34.8K | $423.65 |
| 3 | Adam Angeles | OR | $6.5M | 17.2K | $377.68 |
| 4 | Millicent Rovelo | CA | $6.1M | 12.6K | $486.23 |
| 5 | Alan Bienstock | NY | $3.9M | 13.4K | $289.01 |
| 6 | Pradeep Mohan | TX | $1.9M | 3.4K | $570.95 |
| 7 | Vincent Hung | CA | $1.3M | 5.4K | $232.87 |
| 8 | John Roussalis | DE | $1.2M | 3.9K | $304.78 |
| 9 | Duc Pham | AZ | $1.2M | 4.9K | $240.12 |
| 10 | Jason Mussman | AZ | $1.1M | 3.8K | $302.97 |
| 11 | Thomas Rojy | NC | $1.0M | 6.0K | $173.46 |
| 12 | Khawaja Hassan | NY | $1.0M | 3.0K | $335.49 |
| 13 | Daniel Kapp | FL | $1.0M | 3.5K | $291.62 |
| 14 | Naveen Ahuja | NJ | $970.7K | 1.0K | $931.53 |
| 15 | Mary Ella Carter | DC | $942.2K | 7.0K | $133.95 |
| 16 | David Singer | PA | $902.3K | 1.7K | $527.05 |
| 17 | David Feldmar | CA | $861.3K | 2.2K | $385.18 |
| 18 | Melissa Smith | CA | $754.8K | 7.5K | $101.28 |
| 19 | Ian Bourhill | NY | $751.1K | 1.4K | $522.67 |
| 20 | Harry Marshak | CA | $744.4K | 10.8K | $68.71 |
| 21 | David Kelly | AZ | $702.5K | 2.3K | $302.40 |
| 22 | Earl Johnson | VA | $687.0K | 3.1K | $221.70 |
| 23 | Steven Heaney | PA | $667.4K | 2.4K | $274.87 |
| 24 | Thuy Nguyen | NY | $637.3K | 13.9K | $45.97 |
| 25 | William Leppard | SC | $614.7K | 1.4K | $439.73 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | $18.4M | 18.9K | $975.89 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $9.3M | 149.8K | $61.86 |
| Q4158 | Kerecis omega3, per square centimeter | $8.7M | 20.2K | $430.81 |
| Q4253 | Zenith amniotic membrane, per square centimeter | $6.4M | 8.5K | $748.03 |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | $5.8M | 5.0K | $1.2K |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $5.6M | 71.7K | $77.75 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $5.4M | 45.7K | $117.97 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $5.1M | 56.4K | $90.24 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | $4.9M | 7.5K | $659.08 |
| 15734 | Creation of muscle graft to trunk | $4.4M | 4.6K | $968.87 |
| Q4262 | Dual layer impax membrane, per square centimeter | $4.4M | 5.6K | $794.82 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | $4.0M | 7.1K | $567.00 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | $3.9M | 11.8K | $329.17 |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | $3.5M | 3.7K | $949.27 |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | $3.3M | 6.1K | $545.56 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | $2.7M | 9.7K | $284.73 |
| 15260 | Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | $2.5M | 3.5K | $723.36 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | $2.4M | 15.5K | $154.79 |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | $2.3M | 3.3K | $673.78 |
| Q4188 | Amnioarmor, per square centimeter | $2.1M | 2.8K | $767.69 |
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.