This provider's $9.8M in total Medicare payments ranks in the 97th percentile of Micrographic Dermatologic Surgery 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 | $349.77 | $177.18 | 1.97x | $172.59 | $943.4K | 10.4K | 8.5K |
| 2015 | $332.46 | $165.90 | 2.00x | $166.56 | $957.2K | 10.7K | 8.6K |
| 2016 | $332.40 | $162.95 | 2.04x | $169.45 | $958.6K | 11.6K | 9.2K |
| 2017 | $453.83 | $198.08 | 2.29x | $255.75 | $900.8K | 10.9K | 8.7K |
| 2018 | $493.74 | $177.59 | 2.78x | $316.15 | $994.8K | 11.3K | 9.1K |
| 2019 | $521.24 | $200.97 | 2.59x | $320.27 | $1.0M | 11.4K | 9.0K |
| 2020 | $506.84 | $188.43 | 2.69x | $318.41 | $942.3K | 9.8K | 7.8K |
| 2021 | $539.40 | $197.81 | 2.73x | $341.59 | $989.5K | 9.5K | 7.3K |
| 2022 | $463.26 | $188.92 | 2.45x | $274.34 | $943.1K | 9.0K | 6.9K |
| 2023 | $392.80 | $199.45 | 1.97x | $193.35 | $1.1M | 9.9K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 14.5K | $1.7M | $120.06 | 2.01x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.9K | $1.6M | $56.80 | 1.91x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.7K | $1.0M | $378.77 | 3.12x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.3K | $551.1K | $428.20 | 2.50x |
| 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 | 715 | $529.6K | $740.73 | 2.11x |
| 17000 | Destruction of skin growth | 9.8K | $418.8K | $42.65 | 2.54x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 447 | $358.2K | $801.38 | 2.15x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 3.8K | $349.0K | $91.56 | 1.99x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.4K | $330.2K | $75.51 | 1.92x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 10.7K | $318.8K | $29.86 | 6.27x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 3.8K | $273.6K | $72.56 | 2.21x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 413 | $251.7K | $609.33 | 2.21x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 869 | $193.1K | $222.25 | 3.54x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 677 | $158.6K | $234.33 | 4.15x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.3K | $151.0K | $116.25 | 1.76x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 2.1K | $142.5K | $66.93 | 2.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.4K | $122.1K | $85.53 | 1.73x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.1K | $110.7K | $99.12 | 1.87x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 465 | $108.3K | $232.80 | 2.47x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 907 | $103.6K | $114.28 | 1.88x |
This provider submits charges 2.4 times higher than what Medicare actually pays.
A markup ratio of 2.4x means for every $100 Medicare pays, this provider initially charges $240. 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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