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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 17312
  4. Cost Analysis

How Much Does Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks Cost on Medicare?

Cost analysis for CPT 17312 — Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks

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Average Medicare Payment

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Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 2.1x more than the cheapest for this procedure. DC averages $384.42 vs ND at $182.71.

StateAvg PaymentTotal PaymentsServicesProviders
DC$384.42$197.6K5144
NY$364.31$8.9M24.4K136
NJ$362.29$5.1M14.1K65
CA$358.21$22.9M63.8K388
MD$356.97$2.5M7.1K37
CT$354.25$1.6M4.5K27
HI$349.57$285.9K8188
AK$346.53$117.5K3393
CO$335.91$3.0M9.0K68
DE$334.13$496.9K1.5K9
WY$330.07$168.3K5106
VA$326.24$4.5M13.9K52
IL$325.69$4.8M14.6K77
FL$325.40$20.4M62.7K330
NV$323.32$1.7M5.2K30
MA$321.01$4.5M14.1K64
WA$319.46$3.0M9.3K63
RI$317.66$526.0K1.7K9
AZ$316.95$5.6M17.6K98
GA$313.71$5.2M16.5K78
OR$312.92$1.3M4.1K34
TX$311.73$9.5M30.3K179
NC$307.27$6.3M20.4K84
PA$305.05$6.0M19.6K100
MI$303.81$2.5M8.2K61
SC$302.07$2.7M9.0K34
MN$298.28$1.9M6.3K62
MO$296.95$2.5M8.5K52
KY$296.37$1.9M6.5K28
MT$295.63$631.8K2.1K12
OH$294.85$4.5M15.2K84
IN$294.41$2.4M8.2K43
MS$292.75$801.8K2.7K15
TN$292.36$3.5M11.8K64
KS$291.75$1.8M6.0K25
NE$288.89$680.6K2.4K20
OK$288.52$1.5M5.2K24
WV$288.13$671.3K2.3K8
AL$288.03$1.8M6.3K39
LA$287.49$1.1M3.7K24
AR$286.57$2.2M7.6K33
NM$286.51$685.6K2.4K9
UT$284.40$1.3M4.4K40
IA$278.74$920.1K3.3K25
ID$278.69$624.3K2.2K23
NH$273.05$815.6K3.0K14
ME$269.49$211.8K7868
SD$266.58$609.7K2.3K14
WI$242.26$1.5M6.0K47
VT$201.47$98.9K4914
ND$182.71$171.4K9386

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
James KeaneDermatologyAR$1.1M3.8K$299.35
Daniel ShurmanDermatologyPA$660.7K2.1K$317.47
Santiago CenturionDermatologyCA$504.8K1.4K$370.39
Arash Kimyai-AsadiDermatologyTX$472.5K1.5K$323.65
Catherine LeeDermatologyCA$448.8K1.2K$379.99
Todd CovenMicrographic Dermatologic SurgeryNY$443.5K1.2K$381.31
Ronald ShiellDermatologyCA$413.2K1.2K$354.67
Thi TranDermatologyFL$392.6K1.2K$324.46
David KoubaDermatologyOH$388.6K1.3K$306.95
Kevin BroughMicrographic Dermatologic SurgeryKS$381.1K1.3K$301.01
Scott WarrenDermatologyFL$368.5K1.1K$322.66
Andrew BreithauptDermatologyCA$364.0K990$367.67
Robert SollittoMicrographic Dermatologic SurgeryNJ$359.4K1.1K$330.06
Lawrence ChangDermatologyVA$355.6K1.1K$325.03
Robert ClarkMicrographic Dermatologic SurgeryNC$352.0K1.1K$313.98
Marc HandlerMicrographic Dermatologic SurgeryNJ$335.3K935$358.59
William CookMicrographic Dermatologic SurgerySC$332.5K1.1K$302.00
David KikenDermatologyNJ$332.0K889$373.47
Monika SrivastavaDermatologyFL$325.9K951$342.73
Carlos PazDermatologyCA$324.7K959$338.62

🤔 Is Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks Overpriced?

The data suggests significant pricing inconsistencies for CPT 17312. With a 2.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.