This provider's $10.5M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 177% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2018
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 | $434.38 | $171.11 | 2.54x | $263.27 | $637.4K | 3.7K | 3.2K |
| 2015 | $474.44 | $199.14 | 2.38x | $275.30 | $905.1K | 5.2K | 4.5K |
| 2016 | $431.83 | $167.13 | 2.58x | $264.70 | $874.9K | 4.7K | 4.0K |
| 2017 | $415.76 | $156.55 | 2.66x | $259.21 | $662.4K | 4.2K | 3.6K |
| 2018 | $450.93 | $179.82 | 2.51x | $271.11 | $1.0M | 6.9K | 6.1K |
| 2019 | $390.74 | $140.39 | 2.78x | $250.35 | $1.0M | 8.3K | 6.9K |
| 2020 | $394.67 | $147.12 | 2.68x | $247.55 | $1.2M | 9.1K | 7.3K |
| 2021 | $425.84 | $151.35 | 2.81x | $274.49 | $1.0M | 9.8K | 8.1K |
| 2022 | $474.30 | $138.08 | 3.43x | $336.22 | $1.4M | 15.7K | 12.5K |
| 2023 | $491.83 | $155.44 | 3.16x | $336.39 | $1.8M | 20.2K | 15.7K |
| 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) | 7.3K | $2.6M | $356.66 | 2.72x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.8K | $1.2M | $258.05 | 2.37x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.7K | $852.8K | $315.61 | 2.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.3K | $719.1K | $58.26 | 2.06x |
| 15120 | Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) | 874 | $554.0K | $633.88 | 1.93x |
| 11102 | Tangential biopsy of single skin lesion | 6.8K | $409.9K | $60.52 | 3.04x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.3K | $393.7K | $168.30 | 3.98x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.9K | $319.6K | $82.64 | 2.02x |
| 17004 | Destruction of 15 or more skin growths | 2.7K | $315.6K | $117.65 | 2.55x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.1K | $283.3K | $251.83 | 2.45x |
| 17000 | Destruction of skin growth | 7.3K | $260.3K | $35.51 | 2.72x |
| 88331 | Pathology examination of tissue during surgery | 3.3K | $238.2K | $71.58 | 2.01x |
| 17110 | Destruction of up to 14 skin growths | 2.9K | $231.4K | $80.51 | 2.30x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.3K | $197.2K | $156.64 | 3.45x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.4K | $180.4K | $73.97 | 2.25x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 865 | $128.9K | $148.96 | 3.52x |
| 15100 | Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children) | 194 | $123.9K | $638.75 | 1.96x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.2K | $116.3K | $36.25 | 2.48x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 190 | $108.2K | $569.71 | 1.85x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 562 | $98.3K | $174.84 | 3.97x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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