This provider's $5.7M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Their average markup ratio of 5.01x is significantly above the specialty median of 2.8x.
Medicare payments to this provider grew 60% from 2014 to 2023.
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 | $1.0K | $250.73 | 4.00x | $752.60 | $500.0K | 2.2K | 2.0K |
| 2015 | $975.27 | $221.30 | 4.41x | $753.97 | $565.3K | 2.5K | 2.2K |
| 2016 | $1.1K | $251.18 | 4.36x | $845.14 | $595.1K | 2.5K | 2.3K |
| 2017 | $1.0K | $208.03 | 4.94x | $818.63 | $604.9K | 2.5K | 2.3K |
| 2018 | $1.1K | $254.15 | 4.48x | $885.07 | $572.1K | 2.1K | 1.9K |
| 2019 | $1.1K | $250.15 | 4.52x | $880.91 | $539.6K | 2.0K | 1.8K |
| 2020 | $1.3K | $308.84 | 4.32x | $1.0K | $397.7K | 1.1K | 977 |
| 2021 | $1.2K | $295.25 | 4.12x | $920.73 | $567.4K | 1.7K | 1.5K |
| 2022 | $1.2K | $300.87 | 4.13x | $942.28 | $539.4K | 1.6K | 1.4K |
| 2023 | $1.2K | $333.67 | 3.46x | $820.77 | $801.3K | 2.4K | 1.9K |
| 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) | 5.5K | $2.3M | $428.19 | 5.83x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.7K | $820.7K | $306.68 | 3.68x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.2K | $433.5K | $194.85 | 7.68x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 799 | $334.5K | $418.64 | 5.99x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 459 | $277.5K | $604.62 | 3.50x |
| 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 | 325 | $237.0K | $729.18 | 3.70x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 187 | $148.1K | $791.82 | 3.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.4K | $130.6K | $53.81 | 2.28x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 580 | $117.9K | $203.26 | 6.18x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 317 | $92.3K | $291.16 | 3.50x |
| Q4234 | Xcellerate, per square centimeter | 142 | $88.0K | $619.62 | 1.51x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 413 | $83.4K | $201.98 | 7.94x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 121 | $72.7K | $600.45 | 2.67x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 285 | $64.3K | $225.54 | 3.45x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 77 | $63.8K | $828.13 | 3.41x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 969 | $50.2K | $51.80 | 2.78x |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 61 | $50.2K | $822.73 | 1.41x |
| Q4227 | Amniocore, per square centimeter | 110 | $28.5K | $258.89 | 2.13x |
| 11100 | Biopsy of single growth of skin and/or tissue | 357 | $20.8K | $58.31 | 5.66x |
| Q4236 | Carepatch, per square centimeter | 23 | $20.0K | $871.31 | 1.39x |
This provider submits charges 5.01 times higher than what Medicare actually pays.
A markup ratio of 5.01x means for every $100 Medicare pays, this provider initially charges $501. 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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