This provider's $7.3M 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $232.86 | $95.77 | 2.43x | $137.09 | $582.9K | 9.1K | 6.0K |
| 2015 | $264.16 | $103.85 | 2.54x | $160.31 | $618.4K | 10.9K | 6.9K |
| 2016 | $272.92 | $108.72 | 2.51x | $164.20 | $663.4K | 11.2K | 6.5K |
| 2017 | $278.88 | $113.74 | 2.45x | $165.14 | $841.5K | 12.9K | 7.3K |
| 2018 | $277.52 | $114.11 | 2.43x | $163.41 | $760.2K | 12.4K | 7.1K |
| 2019 | $262.80 | $112.05 | 2.35x | $150.75 | $756.5K | 12.5K | 7.0K |
| 2020 | $253.93 | $104.82 | 2.42x | $149.11 | $651.2K | 11.3K | 6.2K |
| 2021 | $272.22 | $109.57 | 2.48x | $162.65 | $826.8K | 12.7K | 6.8K |
| 2022 | $272.36 | $102.19 | 2.67x | $170.17 | $968.3K | 16.4K | 10.6K |
| 2023 | $257.56 | $99.77 | 2.58x | $157.79 | $650.4K | 11.0K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.1K | $1.5M | $76.36 | 2.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.2K | $1.1M | $60.26 | 2.28x |
| 17000 | Destruction of skin growth | 18.0K | $718.5K | $39.91 | 4.01x |
| 77280 | Management of radiation therapy simulation, simple | 2.2K | $516.0K | $230.78 | 1.76x |
| 77290 | Management of radiation therapy, simulation, complex | 1.1K | $439.6K | $415.12 | 1.76x |
| 11102 | Tangential biopsy of single skin lesion | 5.2K | $369.4K | $71.09 | 2.81x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.9K | $361.5K | $73.26 | 2.73x |
| 77401 | Radiation treatment delivery, superficial | 11.0K | $263.0K | $23.84 | 2.07x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.6K | $256.7K | $38.62 | 2.17x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.2K | $217.5K | $67.68 | 2.95x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 655 | $157.1K | $239.83 | 2.29x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.1K | $151.6K | $132.74 | 2.36x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 772 | $123.0K | $159.33 | 2.30x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 542 | $76.9K | $141.95 | 2.35x |
| 17003 | Destruction of 2-14 skin growths | 13.9K | $71.3K | $5.13 | 5.85x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 686 | $67.4K | $98.18 | 2.12x |
| 17110 | Destruction of up to 14 skin growths | 869 | $67.2K | $77.27 | 2.65x |
| 77300 | Calculation of radiation therapy dose | 1.2K | $67.0K | $54.64 | 2.05x |
| 11103 | Tangential biopsy of additional skin lesion | 1.1K | $46.4K | $42.86 | 2.34x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 116 | $44.9K | $386.92 | 2.67x |
This provider submits charges 2.55 times higher than what Medicare actually pays.
A markup ratio of 2.55x means for every $100 Medicare pays, this provider initially charges $255. 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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