This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 1055% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 212% 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 | $170.38 | $68.20 | 2.50x | $102.18 | $82.1K | 1.3K | 1.1K |
| 2015 | $137.10 | $71.97 | 1.90x | $65.13 | $73.9K | 865 | 519 |
| 2016 | $126.00 | $62.99 | 2.00x | $63.01 | $157.9K | 1.9K | 851 |
| 2017 | $132.78 | $65.44 | 2.03x | $67.34 | $245.6K | 3.6K | 1.4K |
| 2018 | $152.03 | $78.99 | 1.92x | $73.04 | $250.3K | 4.3K | 1.6K |
| 2019 | $208.48 | $119.35 | 1.75x | $89.13 | $780.6K | 8.3K | 2.6K |
| 2020 | $225.03 | $118.33 | 1.90x | $106.70 | $2.1M | 17.6K | 4.8K |
| 2021 | $212.37 | $140.67 | 1.51x | $71.70 | $2.2M | 15.8K | 4.2K |
| 2022 | $136.54 | $97.06 | 1.41x | $39.48 | $1.1M | 9.0K | 1.7K |
| 2023 | $123.33 | $85.41 | 1.44x | $37.92 | $948.6K | 8.8K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 6.5K | $1.6M | $245.61 | 1.30x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 6.8K | $1.4M | $200.71 | 1.31x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 3.5K | $1.1M | $311.09 | 1.30x |
| 17110 | Destruction of up to 14 skin growths | 11.2K | $943.3K | $84.59 | 1.68x |
| 17004 | Destruction of 15 or more skin growths | 3.9K | $495.9K | $128.19 | 1.76x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $490.0K | $65.33 | 1.58x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 4.1K | $430.9K | $105.28 | 1.40x |
| 17000 | Destruction of skin growth | 7.9K | $226.7K | $28.78 | 3.09x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.4K | $177.6K | $123.71 | 1.30x |
| 11443 | Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 849 | $160.1K | $188.60 | 1.59x |
| 96912 | Application of chemical agents activated by ultraviolet light to skin | 1.7K | $152.9K | $88.93 | 1.29x |
| 11442 | Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth | 916 | $91.2K | $99.60 | 2.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 943 | $74.6K | $79.11 | 1.79x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $71.9K | $71.34 | 1.97x |
| 10061 | Drainage of multiple abscess | 497 | $70.5K | $141.93 | 1.69x |
| 11423 | Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals | 511 | $70.4K | $137.68 | 1.96x |
| 11403 | Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 521 | $59.1K | $113.37 | 2.25x |
| 17111 | Destruction of 15 or more skin growths | 551 | $56.9K | $103.30 | 1.76x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 747 | $55.3K | $74.04 | 3.04x |
| 17003 | Destruction of 2-14 skin growths | 7.0K | $36.8K | $5.30 | 2.91x |
This provider submits charges 1.55 times higher than what Medicare actually pays.
A markup ratio of 1.55x means for every $100 Medicare pays, this provider initially charges $155. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ Clear |
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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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