This provider averages 53 services per working day
Based on 133.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 91% from 2014 to 2023.
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 | $254.42 | $150.50 | 1.69x | $103.92 | $1.0M | 13.9K | 10.3K |
| 2015 | $243.79 | $150.99 | 1.61x | $92.80 | $947.3K | 12.5K | 9.4K |
| 2016 | $256.71 | $163.81 | 1.57x | $92.90 | $1.0M | 13.4K | 10.0K |
| 2017 | $262.18 | $164.33 | 1.60x | $97.85 | $1.0M | 13.6K | 10.1K |
| 2018 | $349.74 | $167.69 | 2.09x | $182.05 | $1.0M | 11.9K | 9.2K |
| 2019 | $430.33 | $179.53 | 2.40x | $250.80 | $1.2M | 12.2K | 9.8K |
| 2020 | $418.45 | $178.48 | 2.34x | $239.97 | $1.4M | 14.4K | 10.8K |
| 2021 | $414.03 | $169.07 | 2.45x | $244.96 | $1.3M | 13.0K | 10.0K |
| 2022 | $410.81 | $172.83 | 2.38x | $237.98 | $1.3M | 12.6K | 9.3K |
| 2023 | $393.47 | $168.40 | 2.34x | $225.07 | $2.0M | 15.4K | 7.4K |
| 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) | 4.3K | $2.1M | $489.80 | 2.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.4K | $958.8K | $84.09 | 2.01x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 3.0K | $821.7K | $278.36 | 1.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.1K | $815.6K | $57.75 | 1.74x |
| 17110 | Destruction of up to 14 skin growths | 7.1K | $609.2K | $85.93 | 1.82x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 21.6K | $563.6K | $26.04 | 4.53x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.7K | $562.3K | $335.12 | 1.74x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2.0K | $453.3K | $229.39 | 1.43x |
| 17000 | Destruction of skin growth | 11.3K | $427.1K | $37.67 | 3.06x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 507 | $422.7K | $833.65 | 1.74x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 3.0K | $320.3K | $108.51 | 2.15x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 2.1K | $315.7K | $153.53 | 1.82x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.4K | $307.1K | $70.34 | 1.73x |
| 17004 | Destruction of 15 or more skin growths | 2.5K | $304.4K | $122.00 | 2.11x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 595 | $291.1K | $489.31 | 1.95x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.3K | $272.4K | $205.73 | 3.03x |
| 11102 | Tangential biopsy of single skin lesion | 3.5K | $239.9K | $69.08 | 2.25x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.4K | $176.1K | $32.44 | 1.56x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.3K | $162.7K | $124.81 | 2.10x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $145.6K | $73.39 | 2.13x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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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