This provider's $3.7M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $103.52 | $34.89 | 2.97x | $68.63 | $421.9K | 12.4K | 7.0K |
| 2015 | $139.00 | $47.78 | 2.91x | $91.22 | $404.9K | 12.2K | 6.8K |
| 2016 | $133.80 | $46.19 | 2.90x | $87.61 | $378.9K | 11.7K | 6.7K |
| 2017 | $135.56 | $45.72 | 2.97x | $89.84 | $368.8K | 11.2K | 6.4K |
| 2018 | $135.80 | $45.19 | 3.01x | $90.61 | $370.1K | 11.3K | 6.4K |
| 2019 | $168.27 | $49.05 | 3.43x | $119.22 | $380.1K | 11.5K | 6.3K |
| 2020 | $194.76 | $52.97 | 3.68x | $141.79 | $296.5K | 9.1K | 5.5K |
| 2021 | $188.72 | $59.20 | 3.19x | $129.52 | $400.6K | 10.3K | 6.1K |
| 2022 | $209.90 | $57.97 | 3.62x | $151.93 | $375.3K | 9.2K | 5.4K |
| 2023 | $221.39 | $54.29 | 4.08x | $167.10 | $332.7K | 8.9K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17000 | Destruction of skin growth | 29.9K | $1.2M | $39.15 | 3.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 31.5K | $923.1K | $29.30 | 2.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.2K | $593.2K | $48.64 | 2.34x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.4K | $363.2K | $67.51 | 2.30x |
| 11102 | Tangential biopsy of single skin lesion | 4.2K | $279.3K | $67.28 | 4.87x |
| 17004 | Destruction of 15 or more skin growths | 1.9K | $201.8K | $104.40 | 3.32x |
| 17003 | Destruction of 2-14 skin growths | 20.0K | $86.0K | $4.30 | 6.27x |
| 17110 | Destruction of up to 14 skin growths | 543 | $37.9K | $69.73 | 3.55x |
| 11103 | Tangential biopsy of additional skin lesion | 655 | $24.9K | $38.04 | 4.53x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 807 | $19.2K | $23.80 | 2.52x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 397 | $16.9K | $42.66 | 2.54x |
| 11104 | Punch biopsy of single skin lesion | 88 | $7.8K | $88.56 | 4.47x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 108 | $1.2K | $11.34 | 3.53x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | $1.2K | $66.17 | 3.67x |
| 40490 | Biopsy of lip | 12 | $1.2K | $96.17 | 3.03x |
| 99203 | New patient outpatient visit, total time 30-44 minutes | 12 | $1.0K | $83.40 | 1.96x |
| Q0112 | All potassium hydroxide (koh) preparations | 15 | $85.50 | $5.70 | 1.89x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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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