This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 188% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 161% in 2023
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 | $242.26 | $129.62 | 1.87x | $112.64 | $622.1K | 9.7K | 8.1K |
| 2015 | $231.03 | $122.72 | 1.88x | $108.31 | $676.5K | 10.5K | 9.0K |
| 2016 | $237.15 | $125.24 | 1.89x | $111.91 | $705.1K | 11.6K | 9.8K |
| 2017 | $295.60 | $122.24 | 2.42x | $173.36 | $704.3K | 11.8K | 9.9K |
| 2018 | $312.35 | $121.41 | 2.57x | $190.94 | $781.3K | 12.8K | 10.8K |
| 2019 | $326.15 | $129.70 | 2.51x | $196.45 | $885.8K | 14.5K | 11.9K |
| 2020 | $317.83 | $126.34 | 2.52x | $191.49 | $757.5K | 12.5K | 10.4K |
| 2021 | $286.85 | $115.80 | 2.48x | $171.05 | $743.1K | 11.9K | 10.2K |
| 2022 | $289.08 | $105.48 | 2.74x | $183.60 | $686.2K | 11.5K | 9.8K |
| 2023 | $322.18 | $111.92 | 2.88x | $210.26 | $1.8M | 17.5K | 11.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 29.1K | $1.6M | $53.45 | 2.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.3K | $1.4M | $51.12 | 2.70x |
| 17110 | Destruction of up to 14 skin growths | 9.2K | $670.0K | $72.95 | 2.71x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2.4K | $554.2K | $228.43 | 2.40x |
| 17004 | Destruction of 15 or more skin growths | 4.2K | $494.5K | $118.87 | 2.32x |
| 17000 | Destruction of skin growth | 11.8K | $433.9K | $36.66 | 3.92x |
| 0394T | High dose rate electronic brachytherapy, external | 2.4K | $314.3K | $131.02 | 3.43x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 2.3K | $269.3K | $118.16 | 2.67x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 1.3K | $190.3K | $146.69 | 2.42x |
| 77600 | Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less | 421 | $188.6K | $448.01 | 2.90x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $186.0K | $68.63 | 3.11x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 366 | $181.0K | $494.58 | 1.94x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.9K | $175.7K | $44.77 | 2.85x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.3K | $150.5K | $112.60 | 2.75x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 1.0K | $93.9K | $90.61 | 2.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $91.4K | $79.51 | 2.81x |
| 17107 | Destruction of skin growth (10.0 to 50.0 sq centimeters) | 256 | $87.3K | $340.88 | 1.80x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 249 | $82.8K | $332.36 | 1.67x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 615 | $80.7K | $131.18 | 2.35x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.5K | $77.0K | $30.87 | 2.61x |
This provider submits charges 2.67 times higher than what Medicare actually pays.
A markup ratio of 2.67x means for every $100 Medicare pays, this provider initially charges $267. 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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