This provider's $8.4M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 60% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $677.64 | $267.03 | 2.54x | $410.61 | $807.5K | 6.0K | 3.6K |
| 2015 | $705.10 | $272.89 | 2.58x | $432.21 | $725.9K | 5.8K | 3.3K |
| 2016 | $676.30 | $262.63 | 2.58x | $413.67 | $707.4K | 5.9K | 3.4K |
| 2017 | $669.69 | $246.02 | 2.72x | $423.67 | $682.6K | 5.4K | 3.2K |
| 2018 | $649.43 | $237.34 | 2.74x | $412.09 | $638.9K | 5.6K | 3.3K |
| 2019 | $691.05 | $272.20 | 2.54x | $418.85 | $800.2K | 6.0K | 3.4K |
| 2020 | $634.11 | $254.03 | 2.50x | $380.08 | $672.2K | 3.9K | 2.7K |
| 2021 | $670.66 | $285.41 | 2.35x | $385.25 | $1.1M | 6.0K | 3.4K |
| 2022 | $707.15 | $294.62 | 2.40x | $412.53 | $1.2M | 6.1K | 3.5K |
| 2023 | $620.26 | $294.77 | 2.10x | $325.49 | $1.2M | 5.5K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.5K | $925.6K | $367.87 | 3.97x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $805.4K | $692.52 | 2.17x |
| 17004 | Destruction of 15 or more skin growths | 5.2K | $748.3K | $143.99 | 3.68x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.9K | $707.9K | $370.82 | 3.97x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 2.5K | $679.4K | $273.53 | 1.43x |
| 17107 | Destruction of skin growth (10.0 to 50.0 sq centimeters) | 1.4K | $606.1K | $429.59 | 2.31x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 469 | $324.9K | $692.72 | 2.17x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 369 | $304.2K | $824.48 | 1.50x |
| 17000 | Destruction of skin growth | 6.6K | $290.4K | $44.21 | 2.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $287.9K | $64.99 | 1.85x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.0K | $259.5K | $37.28 | 1.62x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 394 | $258.8K | $656.97 | 1.53x |
| 17108 | Destruction of birthmark, more than 50.0 sq cm | 396 | $244.7K | $618.03 | 1.49x |
| 17110 | Destruction of up to 14 skin growths | 2.6K | $232.8K | $90.88 | 3.30x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 666 | $228.9K | $343.73 | 4.17x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 258 | $222.9K | $863.95 | 2.31x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 521 | $186.9K | $358.79 | 4.03x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 2.0K | $165.2K | $83.41 | 2.26x |
| 67850 | Destruction of (up to 1 centimeter) growth of eyelid margin | 875 | $163.9K | $187.29 | 2.61x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 1.3K | $108.2K | $85.14 | 2.12x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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