This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $292.85 | $129.46 | 2.26x | $163.39 | $1.1M | 11.8K | 7.3K |
| 2015 | $311.58 | $138.71 | 2.25x | $172.87 | $1.2M | 10.2K | 6.9K |
| 2016 | $244.39 | $111.96 | 2.18x | $132.43 | $737.5K | 9.4K | 6.5K |
| 2017 | $263.65 | $115.43 | 2.28x | $148.22 | $721.1K | 9.3K | 6.5K |
| 2018 | $243.02 | $113.17 | 2.15x | $129.85 | $808.4K | 10.7K | 7.8K |
| 2019 | $234.85 | $111.65 | 2.10x | $123.20 | $814.2K | 10.7K | 7.4K |
| 2020 | $232.82 | $112.01 | 2.08x | $120.81 | $539.2K | 7.1K | 4.9K |
| 2021 | $257.59 | $125.48 | 2.05x | $132.11 | $764.8K | 9.0K | 6.2K |
| 2022 | $232.88 | $112.17 | 2.08x | $120.71 | $824.3K | 9.9K | 6.5K |
| 2023 | $256.93 | $119.56 | 2.15x | $137.37 | $714.4K | 8.9K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17108 | Destruction of skin growth (over 50.0 sq centimeters) | 1.9K | $965.4K | $506.75 | 2.07x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 3.3K | $895.2K | $274.27 | 1.55x |
| 0182T | High dose rate electronic brachytherapy | 578 | $881.4K | $1.5K | 2.62x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.1K | $790.7K | $56.11 | 1.92x |
| 17110 | Destruction of up to 14 skin growths | 9.6K | $711.2K | $73.82 | 2.84x |
| 17000 | Destruction of skin growth | 10.8K | $394.5K | $36.47 | 3.25x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 1.7K | $374.5K | $223.87 | 1.63x |
| 17004 | Destruction of 15 or more skin growths | 3.1K | $358.9K | $114.55 | 3.06x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 11.3K | $346.7K | $30.79 | 2.66x |
| 17111 | Destruction of 15 or more skin growths | 3.0K | $284.6K | $96.18 | 2.32x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.7K | $243.9K | $90.28 | 1.88x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.6K | $168.6K | $106.80 | 2.20x |
| 10061 | Drainage of multiple abscess | 1.0K | $164.6K | $161.68 | 2.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $157.9K | $74.96 | 2.51x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.2K | $148.8K | $35.85 | 2.21x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $143.9K | $116.77 | 2.28x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 1.2K | $105.4K | $85.43 | 1.79x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 782 | $102.6K | $131.20 | 2.09x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 737 | $97.4K | $132.10 | 1.98x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 470 | $75.6K | $160.88 | 1.98x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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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