How much does Medicare pay for CPT 12032?

Medicare allowed an average of $250.68 per service and paid $192.79 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $668.49, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 12032?

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. It was billed 312,313 times to 282,014 Medicare beneficiaries by 6,668 providers in 2024.

Does 12032 pay differently in an office than a hospital?

Yes. The allowed amount averaged $255.88 in an office setting and $134.84 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 12032 most?

Dermatology, with 232,795 services from 4,701 clinicians. Next are Physician Assistant, Micrographic Dermatologic Surgery, Nurse Practitioner.

CPT 12032

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm

$250.68Medicare-allowed amount per service, averaged across 312,313 services

Providers submitted

$668.49

Asking price, not received

Medicare allowed

$250.68

The fee schedule figure

Medicare paid

$192.79

Balance is patient coinsurance

Providers submitted an average of $668.49 for this code and Medicare allowed $250.68 — 2.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $192.79 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $255.88
Hospital / facility: $134.84

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 298,887 services were billed in an office setting and 13,426 in a facility.

Services: 312,313
Beneficiaries: 282,014
Providers billing it: 6,668
Total allowed: $78,290,623

What Medicare pays for CPT 12032

Across 312,313 services billed by 6,668 providers to 282,014 beneficiaries, Medicare allowed an average of $250.68 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 12032

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	232,795	209,843	$257.01	4,701
Physician Assistant	33,477	30,121	$243.24	958
Micrographic Dermatologic Surgery	20,939	19,251	$213.10	286
Nurse Practitioner	8,266	7,467	$239.53	284
Plastic and Reconstructive Surgery	6,243	5,705	$246.70	158
General Surgery	3,633	3,440	$225.70	130
Ambulatory Surgical Center	2,367	2,079	$163.59	41
Family Practice	1,493	1,330	$267.32	34
Otolaryngology	812	695	$234.67	10
Internal Medicine	598	521	$252.46	20
Undefined Physician type	556	484	$241.40	7
Surgical Oncology	312	304	$136.89	14
Orthopedic Surgery	146	140	$195.46	3
General Practice	124	111	$283.44	3
Pathology	114	109	$238.98	5

12032 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	35,147	$255.78	$195.06	628
California	23,958	$294.37	$197.93	562
Texas	22,010	$250.58	$194.87	493
North Carolina	14,396	$245.77	$197.78	296
Pennsylvania	13,512	$244.67	$186.73	297
Georgia	12,355	$231.97	$185.66	222
Virginia	12,351	$248.52	$186.55	198
Illinois	10,838	$263.39	$196.22	233
Arizona	10,508	$250.66	$194.02	195
Massachusetts	10,389	$270.26	$190.27	215
Ohio	10,264	$235.60	$190.02	231
South Carolina	10,170	$247.14	$200.87	136
Maryland	8,517	$267.66	$189.34	150
New York	8,246	$248.97	$176.01	209
Tennessee	8,028	$224.24	$187.15	168
New Jersey	6,630	$282.76	$194.42	146
Michigan	6,028	$256.01	$200.53	165
Washington	5,958	$266.41	$194.58	163
Missouri	5,003	$227.20	$185.18	118
Alabama	4,979	$229.35	$195.34	82
Indiana	4,788	$221.08	$182.00	109
Kansas	4,629	$234.12	$191.44	80
Colorado	4,357	$268.59	$197.27	122
Wisconsin	4,306	$218.26	$172.18	116
Minnesota	4,238	$237.56	$181.74	121
Iowa	3,839	$217.74	$180.04	80
Oregon	3,590	$262.02	$199.01	101
Arkansas	3,514	$220.31	$191.08	58
Oklahoma	3,448	$231.76	$191.13	73
Kentucky	3,447	$227.10	$188.08	72
Mississippi	3,233	$232.92	$200.39	59
Louisiana	3,181	$240.22	$199.72	77
Connecticut	3,173	$269.55	$187.49	68
Idaho	2,552	$226.44	$184.80	81
New Hampshire	2,263	$222.03	$163.09	57
Utah	2,188	$235.75	$189.24	71
Nebraska	2,159	$247.15	$204.78	50
Nevada	1,902	$253.67	$190.51	56
West Virginia	1,692	$217.04	$176.94	32
Montana	1,377	$245.36	$186.20	39
New Mexico	1,290	$227.99	$177.70	33
Delaware	1,273	$259.16	$195.85	25
Rhode Island	1,089	$246.16	$181.90	29
South Dakota	881	$189.95	$153.32	31
Hawaii	803	$290.95	$201.19	22
Maine	733	$240.39	$181.41	22
Wyoming	693	$239.74	$184.87	9
North Dakota	611	$185.57	$140.58	12
Vermont	576	$209.14	$160.18	21
District of Columbia	564	$312.25	$213.73	15
Alaska	472	$289.89	$202.95	14
ZZ	80	$279.42	$205.23	2
Puerto Rico	43	$286.89	$224.98	2
U.S. Virgin Islands	42	$222.92	$183.09	2

Related codes

12052Intermediate repair of wound of face$174.94
12042Intermediate repair of wound of neck$198.63
12051Intermediate repair of wound of face$170.56
12031Intermediate repair of wound of scalp$221.43
12034Intermediate repair of wound of scalp$235.14
12053Intermediate repair of wound of face$180.85
12001Simple repair of surface wound of scalp$64.10
12002Simple repair of surface wound of scalp$68.13
12041Intermediate repair of wound of neck$171.72
12011Simple repair of surface wound of face$58.25
12013Simple repair of surface wound of face$54.97

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.