This provider averages 82 services per working day
Based on 102.4K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 82 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2208% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 388% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $192.84 | $57.91 | 3.33x | $134.93 | $264.0K | 4.6K | 24 |
| 2020 | $239.77 | $84.36 | 2.84x | $155.41 | $998.5K | 11.8K | 33 |
| 2021 | $200.17 | $73.60 | 2.72x | $126.57 | $859.7K | 11.7K | 40 |
| 2022 | $267.01 | $155.48 | 1.72x | $111.53 | $4.2M | 27.0K | 40 |
| 2023 | $284.83 | $128.52 | 2.22x | $156.31 | $6.1M | 47.4K | 52 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4232 | Corplex, per square centimeter | 8.3K | $2.8M | $333.52 | 1.50x |
| Q4180 | Revita, per square centimeter | 8.6K | $2.4M | $275.93 | 1.73x |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 22.1K | $2.4M | $107.03 | 2.41x |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 4.3K | $802.4K | $187.17 | 1.60x |
| Q4186 | Epifix, per square centimeter | 3.6K | $452.7K | $127.42 | 2.59x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 4.9K | $389.1K | $78.87 | 2.41x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 3.6K | $370.3K | $103.63 | 2.60x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 3.1K | $338.7K | $110.28 | 2.57x |
| 17110 | Destruction of skin growth, 1-14 growths | 4.2K | $312.3K | $73.80 | 3.40x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 2.7K | $291.2K | $107.05 | 2.54x |
| 17000 | Destruction of precancer skin growth, 1 growth | 6.1K | $249.1K | $41.08 | 3.50x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 1.4K | $242.3K | $174.33 | 2.83x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 2.3K | $157.0K | $68.13 | 2.90x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 2.2K | $146.7K | $66.25 | 4.07x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 1.1K | $113.4K | $99.62 | 3.19x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1.8K | $100.3K | $57.04 | 2.40x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 788 | $96.0K | $121.78 | 2.82x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 798 | $79.7K | $99.92 | 2.30x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 1.2K | $72.4K | $61.59 | 2.86x |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | 850 | $65.7K | $77.29 | 2.57x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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 | ✓ 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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