This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 278% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2019
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 | $174.43 | $83.42 | 2.09x | $91.01 | $363.2K | 7.0K | 5.5K |
| 2015 | $154.79 | $78.13 | 1.98x | $76.66 | $351.9K | 7.2K | 5.5K |
| 2016 | $160.86 | $78.04 | 2.06x | $82.82 | $393.2K | 8.1K | 6.1K |
| 2017 | $165.24 | $82.83 | 1.99x | $82.41 | $393.6K | 8.0K | 6.2K |
| 2018 | $173.19 | $84.13 | 2.06x | $89.06 | $411.9K | 8.1K | 6.4K |
| 2019 | $247.68 | $119.93 | 2.07x | $127.75 | $658.7K | 9.4K | 7.4K |
| 2020 | $358.48 | $177.91 | 2.01x | $180.57 | $909.9K | 9.8K | 8.0K |
| 2021 | $356.00 | $181.21 | 1.96x | $174.79 | $1.2M | 12.0K | 9.6K |
| 2022 | $352.80 | $172.45 | 2.05x | $180.35 | $1.1M | 11.9K | 9.6K |
| 2023 | $332.80 | $159.96 | 2.08x | $172.84 | $1.4M | 15.2K | 12.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 30.9K | $1.6M | $53.02 | 1.70x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.2K | $1.0M | $451.59 | 2.55x |
| 17000 | Destruction of skin growth | 13.8K | $543.9K | $39.47 | 2.15x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.1K | $346.9K | $318.52 | 2.20x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.6K | $332.8K | $71.99 | 1.82x |
| 17110 | Destruction of up to 14 skin growths | 3.9K | $300.2K | $76.60 | 1.66x |
| 11102 | Tangential biopsy of single skin lesion | 3.9K | $267.9K | $68.36 | 1.77x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 874 | $186.9K | $213.87 | 1.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $173.8K | $86.28 | 1.60x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.5K | $167.6K | $68.23 | 1.68x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 773 | $147.6K | $190.88 | 3.14x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 231 | $136.8K | $592.03 | 2.31x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 410 | $127.7K | $311.53 | 1.44x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.0K | $124.5K | $119.82 | 2.04x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 1.5K | $112.3K | $77.06 | 1.58x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 236 | $111.1K | $470.95 | 1.57x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.0K | $99.4K | $33.22 | 1.72x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 102 | $79.5K | $779.10 | 2.29x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 429 | $79.3K | $184.84 | 2.71x |
| 17004 | Destruction of 15 or more skin growths | 635 | $73.4K | $115.66 | 1.95x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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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