This provider's $3.6M 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 | $93.28 | $67.84 | 1.38x | $25.44 | $343.7K | 6.6K | 4.3K |
| 2015 | $89.10 | $64.31 | 1.39x | $24.79 | $372.8K | 7.1K | 4.4K |
| 2016 | $99.12 | $65.53 | 1.51x | $33.59 | $350.3K | 6.1K | 3.9K |
| 2017 | $107.80 | $73.59 | 1.46x | $34.21 | $360.1K | 6.4K | 4.5K |
| 2018 | $212.13 | $80.84 | 2.62x | $131.29 | $370.8K | 6.6K | 4.4K |
| 2019 | $260.19 | $85.14 | 3.06x | $175.05 | $332.5K | 5.6K | 4.0K |
| 2020 | $260.35 | $83.00 | 3.14x | $177.35 | $293.8K | 4.7K | 3.5K |
| 2021 | $284.02 | $93.94 | 3.02x | $190.08 | $389.0K | 6.2K | 4.2K |
| 2022 | $284.67 | $92.37 | 3.08x | $192.30 | $396.4K | 6.4K | 4.1K |
| 2023 | $275.32 | $94.89 | 2.90x | $180.43 | $434.7K | 6.9K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.1K | $887.9K | $62.97 | 2.45x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.3K | $645.1K | $88.37 | 1.60x |
| 11102 | Tangential biopsy of single skin lesion | 6.8K | $597.9K | $88.52 | 3.24x |
| 17000 | Destruction of skin growth | 10.2K | $429.9K | $41.95 | 2.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $266.8K | $82.25 | 1.85x |
| 11103 | Tangential biopsy of additional skin lesion | 4.1K | $202.0K | $48.97 | 3.52x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.0K | $148.7K | $142.68 | 2.43x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 3.1K | $89.0K | $28.43 | 1.89x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.9K | $71.6K | $37.15 | 2.24x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 903 | $60.2K | $66.64 | 1.39x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 596 | $49.1K | $82.40 | 2.75x |
| 17003 | Destruction of 2-14 skin growths | 7.7K | $45.2K | $5.91 | 3.04x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 794 | $44.4K | $55.94 | 2.07x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 202 | $22.7K | $112.60 | 2.89x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 124 | $19.5K | $157.55 | 2.75x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 99 | $16.6K | $167.86 | 2.41x |
| 69100 | Biopsy of ear | 268 | $16.2K | $60.34 | 4.08x |
| 17004 | Destruction of 15 or more skin growths | 89 | $13.2K | $148.58 | 2.28x |
| 17271 | Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals | 66 | $8.9K | $134.13 | 2.96x |
| 10060 | Drainage of abscess | 53 | $5.3K | $99.37 | 1.62x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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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