How much does Medicare pay for CPT 13132?

Medicare allowed an average of $269.67 per service and paid $213.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1113.05, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 13132?

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. It was billed 271,456 times to 244,870 Medicare beneficiaries by 3,137 providers in 2024.

Does 13132 pay differently in an office than a hospital?

Yes. The allowed amount averaged $274.80 in an office setting and $220.73 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 13132 most?

Dermatology, with 197,674 services from 2,265 clinicians. Next are Micrographic Dermatologic Surgery, Plastic and Reconstructive Surgery, Ambulatory Surgical Center.

CPT 13132

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

$269.67Medicare-allowed amount per service, averaged across 271,456 services

Providers submitted

$1113.05

Asking price, not received

Medicare allowed

$269.67

The fee schedule figure

Medicare paid

$213.60

Balance is patient coinsurance

Providers submitted an average of $1113.05 for this code and Medicare allowed $269.67 — 4.1× 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 $213.60 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $274.80
Hospital / facility: $220.73

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. 245,688 services were billed in an office setting and 25,768 in a facility.

Services: 271,456
Beneficiaries: 244,870
Providers billing it: 3,137
Total allowed: $73,203,540

What Medicare pays for CPT 13132

Across 271,456 services billed by 3,137 providers to 244,870 beneficiaries, Medicare allowed an average of $269.67 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 13132

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	197,674	177,470	$259.99	2,265
Micrographic Dermatologic Surgery	36,782	33,622	$236.32	305
Plastic and Reconstructive Surgery	11,779	10,918	$414.10	229
Ambulatory Surgical Center	10,037	9,060	$281.44	86
Physician Assistant	7,037	6,409	$375.34	113
Otolaryngology	3,043	2,773	$409.36	55
Undefined Physician type	1,322	1,134	$234.50	7
Nurse Practitioner	924	884	$380.97	24
Pathology	652	585	$178.28	2
Ophthalmology	570	500	$421.40	6
Family Practice	541	497	$319.62	10
Internal Medicine	334	304	$280.82	8
General Surgery	183	179	$288.56	8
General Practice	122	102	$406.54	3
Podiatry	104	93	$208.58	5

13132 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	40,663	$298.44	$220.91	440
California	27,407	$301.65	$210.32	386
Texas	19,688	$270.58	$208.44	205
New York	11,618	$307.82	$207.37	160
Arizona	11,207	$271.68	$204.00	116
Pennsylvania	11,021	$249.62	$193.55	118
Georgia	10,571	$257.82	$200.18	107
North Carolina	9,087	$253.93	$201.72	92
Illinois	7,588	$266.87	$202.14	86
Ohio	6,636	$238.47	$195.95	88
Massachusetts	6,605	$268.20	$197.62	70
Virginia	6,527	$282.04	$210.89	72
Missouri	6,446	$227.99	$181.68	63
Tennessee	6,087	$228.13	$196.58	68
Washington	5,895	$250.78	$190.45	61
South Carolina	5,683	$294.39	$234.21	55
Colorado	5,589	$285.23	$204.03	63
Alabama	5,554	$231.24	$200.29	55
Indiana	5,537	$240.85	$199.88	49
Maryland	4,818	$282.42	$193.10	46
Kansas	4,655	$222.81	$184.52	33
New Jersey	4,415	$308.09	$215.94	76
Arkansas	4,305	$212.34	$185.47	31
Michigan	4,206	$260.78	$200.96	62
Kentucky	3,834	$247.46	$210.62	40
Wisconsin	3,384	$228.25	$175.91	42
Nevada	2,940	$258.27	$200.55	36
Minnesota	2,236	$245.30	$194.99	37
Utah	2,136	$244.02	$194.02	40
Louisiana	2,033	$232.73	$196.18	25
Oregon	2,002	$277.42	$203.93	33
Oklahoma	1,953	$238.69	$200.80	21
Mississippi	1,834	$264.17	$223.15	24
Connecticut	1,767	$264.68	$195.07	23
South Dakota	1,665	$196.66	$161.59	17
Iowa	1,565	$258.27	$211.45	22
New Hampshire	1,451	$227.74	$176.08	17
Delaware	1,428	$272.43	$202.63	18
Idaho	1,341	$228.69	$192.32	21
West Virginia	1,240	$273.83	$188.08	14
Nebraska	1,189	$276.13	$226.69	25
Wyoming	955	$257.95	$207.42	6
Rhode Island	930	$230.71	$176.38	10
Montana	704	$232.08	$179.34	13
Hawaii	599	$283.19	$210.93	9
New Mexico	578	$269.63	$215.50	12
North Dakota	559	$196.99	$159.04	6
Maine	558	$218.45	$176.11	7
District of Columbia	417	$348.38	$244.19	5
Vermont	117	$250.54	$188.95	4
Alaska	100	$273.40	$189.33	3
Puerto Rico	85	$346.07	$266.01	4
ZZ	48	$469.79	$364.44	1

Related codes

13121Complicated repair of wound of scalp$297.90
13101Complicated repair of wound of trunk$328.17
13152Complicated repair of wound of eyelids$268.00
13131Complicated repair of wound of forehead$229.32
13151Complicated repair of wound of eyelids$235.39
13122Complicated repair of wound of scalp$115.92
13120Complicated repair of wound of scalp$264.15
13102Complicated repair of wound of trunk$96.99
13133Complicated repair of wound of forehead$157.28
13160Extensive or complicated repair of surface wound reopening$650.97
13100Complicated repair of wound of trunk$317.65

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.