This provider averages 54 services per working day
Based on 135.2K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $13.3M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 306% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $734.93 | $228.19 | 3.22x | $506.74 | $612.3K | 4.8K | 4.0K |
| 2015 | $701.07 | $207.22 | 3.38x | $493.85 | $702.8K | 5.4K | 4.5K |
| 2016 | $754.06 | $230.23 | 3.28x | $523.83 | $682.5K | 5.6K | 4.5K |
| 2017 | $635.55 | $217.54 | 2.92x | $418.01 | $671.8K | 6.3K | 5.1K |
| 2018 | $436.37 | $199.32 | 2.19x | $237.05 | $1.2M | 11.9K | 8.9K |
| 2019 | $402.73 | $189.62 | 2.12x | $213.11 | $1.5M | 15.3K | 11.4K |
| 2020 | $404.84 | $206.67 | 1.96x | $198.17 | $1.6M | 16.8K | 12.5K |
| 2021 | $409.40 | $202.95 | 2.02x | $206.45 | $1.7M | 18.2K | 13.7K |
| 2022 | $396.19 | $200.35 | 1.98x | $195.84 | $2.2M | 24.0K | 18.6K |
| 2023 | $396.89 | $200.14 | 1.98x | $196.75 | $2.5M | 27.0K | 20.9K |
| 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) | 4.2K | $1.7M | $409.48 | 2.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 21.0K | $1.3M | $60.21 | 1.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.1K | $1.3M | $83.58 | 1.99x |
| 17000 | Destruction of skin growth | 18.4K | $717.2K | $39.05 | 4.91x |
| 17110 | Destruction of up to 14 skin growths | 8.2K | $704.3K | $85.87 | 2.27x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.0K | $678.1K | $332.40 | 2.13x |
| 11102 | Tangential biopsy of single skin lesion | 9.0K | $636.0K | $70.33 | 1.95x |
| 17004 | Destruction of 15 or more skin growths | 4.1K | $507.8K | $125.01 | 2.97x |
| 17107 | Destruction of skin growth (10.0 to 50.0 sq centimeters) | 1.4K | $501.9K | $363.44 | 1.62x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.0K | $451.0K | $224.17 | 3.43x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.0K | $419.4K | $405.23 | 3.80x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 5.4K | $397.8K | $73.83 | 2.07x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.5K | $380.0K | $260.46 | 2.45x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 485 | $294.6K | $607.45 | 2.45x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 288 | $253.8K | $881.14 | 1.82x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 298 | $236.7K | $794.26 | 2.07x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.1K | $236.4K | $75.13 | 2.90x |
| 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 | 312 | $227.5K | $729.19 | 2.20x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 280 | $225.2K | $804.39 | 1.90x |
| 17106 | Destruction of skin growth (less than 10 sq centimeters) | 754 | $205.2K | $272.20 | 1.69x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. This is higher 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 | โ 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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