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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. David Kouba
๐Ÿงด
MDIndividual

David Kouba, MD

NPI: 1073561866
Toledo, OH
10 years of data
Dermatology
$10.0M
Total Payments
44.8K
Beneficiaries
60.2K
Services
3.35x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.0M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $10.0M over 10 years
23.35x markup ratio (above median)
399th percentile in Dermatology by payments
411 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.

Medicare payments to this provider grew 235% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$755.84$213.673.54x$542.17$476.0K3.9K3.2K
2015$923.74$262.853.51x$660.89$690.6K4.4K3.7K
2016$1.0K$282.333.56x$724.15$884.7K4.5K3.5K
2017$954.07$276.883.45x$677.19$967.9K5.4K4.2K
2018$902.09$268.113.36x$633.98$948.7K5.1K3.9K
2019$714.89$214.793.33x$500.10$1.0M5.9K4.4K
2020$721.21$219.933.28x$501.28$971.5K5.5K4.2K
2021$704.39$214.783.28x$489.61$1.1M7.4K5.5K
2022$732.18$215.963.39x$516.22$1.3M8.3K5.8K
2023$713.69$211.013.38x$502.68$1.6M9.8K6.6K

Top Procedures (20)

17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)โš  3.4x markup
$3.5M
7.7K services$450.78/svc3.40x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals
$1.6M
5.4K services$301.35/svc2.99x markup
88305Pathology examination of tissue using a microscope, intermediate complexity
$1.0M
19.5K services$51.91/svc2.83x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  6.1x markup
$540.6K
2.9K services$187.05/svc6.12x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)โš  3.2x markup
$389.1K
870 services$447.19/svc3.19x markup
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  3.2x markup
$298.3K
435 services$685.83/svc3.23x markup
14061Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lipsโš  3.4x markup
$288.8K
410 services$704.44/svc3.37x markup
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)โš  3.2x markup
$211.7K
284 services$745.58/svc3.19x markup
96910Skin application of tar and ultraviolet b or petrolatum and ultraviolet b
$197.0K
2.3K services$85.08/svc2.49x markup
17314Removal and microscopic examination of growth of the trunk, arms, or legs
$157.1K
539 services$291.44/svc2.94x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lipsโš  3.1x markup
$141.8K
241 services$588.24/svc3.11x markup
88342Tissue or cell analysis by immunologic technique
$130.1K
1.7K services$75.45/svc2.66x markup
14301Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)โš  3.5x markup
$124.1K
170 services$730.12/svc3.49x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$120.6K
1.5K services$81.16/svc2.51x markup
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
$112.4K
456 services$246.53/svc2.09x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$106.3K
1.9K services$55.16/svc2.29x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legsโš  4.2x markup
$103.7K
428 services$242.21/svc4.15x markup
17000Destruction of skin growthโš  5.5x markup
$86.5K
2.9K services$29.52/svc5.47x markup
Q4186Epifix, per square centimeter
$81.9K
656 services$124.80/svc2.57x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  3.1x markup
$77.6K
135 services$574.59/svc3.13x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)7.7K$3.5M$450.783.40x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals5.4K$1.6M$301.352.99x
88305Pathology examination of tissue using a microscope, intermediate complexity19.5K$1.0M$51.912.83x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2.9K$540.6K$187.056.12x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)870$389.1K$447.193.19x
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet435$298.3K$685.833.23x
14061Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips410$288.8K$704.443.37x
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)284$211.7K$745.583.19x
96910Skin application of tar and ultraviolet b or petrolatum and ultraviolet b2.3K$197.0K$85.082.49x
17314Removal and microscopic examination of growth of the trunk, arms, or legs539$157.1K$291.442.94x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips241$141.8K$588.243.11x
88342Tissue or cell analysis by immunologic technique1.7K$130.1K$75.452.66x
14301Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)170$124.1K$730.123.49x
99214Established patient office or other outpatient, visit typically 25 minutes1.5K$120.6K$81.162.51x
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)456$112.4K$246.532.09x
99213Established patient office or other outpatient visit, typically 15 minutes1.9K$106.3K$55.162.29x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs428$103.7K$242.214.15x
17000Destruction of skin growth2.9K$86.5K$29.525.47x
Q4186Epifix, per square centimeter656$81.9K$124.802.57x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet135$77.6K$574.593.13x

Markup Analysis

Charge-to-Payment Ratio

3.35x

This provider submits charges 3.35 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. This is higher than the national average.

Location

Toledo, OH

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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