This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 1350% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 517% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $99.66 | $67.42 | 1.48x | $32.24 | $55.9K | 1.0K | 1.0K |
| 2017 | $118.41 | $73.81 | 1.60x | $44.60 | $68.3K | 1.4K | 1.3K |
| 2018 | $376.73 | $159.39 | 2.36x | $217.34 | $90.9K | 518 | 480 |
| 2019 | $483.71 | $219.49 | 2.20x | $264.22 | $561.0K | 3.1K | 2.6K |
| 2020 | $458.26 | $199.89 | 2.29x | $258.37 | $489.1K | 3.0K | 2.5K |
| 2021 | $507.83 | $230.36 | 2.20x | $277.47 | $831.7K | 4.0K | 3.2K |
| 2022 | $526.06 | $233.05 | 2.26x | $293.01 | $782.0K | 4.0K | 3.2K |
| 2023 | $600.40 | $228.65 | 2.63x | $371.75 | $811.0K | 4.1K | 3.3K |
| 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) | 3.0K | $1.3M | $426.49 | 2.42x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.1K | $365.8K | $320.30 | 1.93x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.1K | $207.1K | $193.93 | 3.79x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 307 | $181.4K | $590.86 | 2.02x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 771 | $166.2K | $215.52 | 2.16x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.3K | $132.6K | $57.29 | 2.02x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 289 | $127.6K | $441.47 | 2.24x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 142 | $112.5K | $792.10 | 1.96x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 181 | $106.4K | $587.97 | 2.05x |
| 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 | 126 | $90.3K | $716.28 | 2.05x |
| 11102 | Tangential biopsy of single skin lesion | 1.2K | $83.6K | $67.71 | 2.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 901 | $79.4K | $88.17 | 2.22x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 358 | $70.9K | $198.07 | 3.33x |
| 17000 | Destruction of skin growth | 1.6K | $56.9K | $34.93 | 2.69x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.4K | $51.1K | $36.53 | 1.99x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 56 | $48.7K | $868.84 | 1.95x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 64 | $47.0K | $734.78 | 2.00x |
| 17110 | Destruction of up to 14 skin growths | 589 | $46.4K | $78.82 | 1.98x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 415 | $40.8K | $98.39 | 3.93x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 500 | $37.9K | $75.72 | 1.90x |
This provider submits charges 2.37 times higher than what Medicare actually pays.
A markup ratio of 2.37x means for every $100 Medicare pays, this provider initially charges $237. 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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