This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 313% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 225% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $363.19 | $213.70 | 1.70x | $149.49 | $294.3K | 1.6K | 1.5K |
| 2015 | $390.49 | $236.16 | 1.65x | $154.33 | $957.6K | 4.5K | 4.0K |
| 2016 | $414.47 | $226.00 | 1.83x | $188.47 | $972.4K | 5.6K | 4.8K |
| 2017 | $395.05 | $218.25 | 1.81x | $176.80 | $1.1M | 6.8K | 5.6K |
| 2018 | $525.07 | $224.73 | 2.34x | $300.34 | $1.0M | 6.0K | 5.1K |
| 2019 | $709.86 | $212.11 | 3.35x | $497.75 | $1.1M | 6.3K | 5.3K |
| 2020 | $586.56 | $210.95 | 2.78x | $375.61 | $1.1M | 5.9K | 5.0K |
| 2021 | $391.59 | $207.18 | 1.89x | $184.41 | $1.2M | 5.8K | 4.9K |
| 2022 | $410.96 | $168.81 | 2.43x | $242.15 | $1.2M | 5.7K | 4.8K |
| 2023 | $438.44 | $184.94 | 2.37x | $253.50 | $1.2M | 5.2K | 4.5K |
| 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) | 9.3K | $4.5M | $482.73 | 2.15x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.7K | $1.2M | $311.75 | 2.00x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.6K | $738.7K | $454.59 | 2.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $375.7K | $124.43 | 1.81x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 541 | $367.0K | $678.28 | 1.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $357.8K | $77.41 | 2.04x |
| 88331 | Pathology examination of tissue during surgery | 4.0K | $307.0K | $77.66 | 1.91x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.9K | $275.2K | $148.03 | 4.09x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 451 | $203.3K | $450.79 | 2.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $173.6K | $64.25 | 1.71x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 247 | $158.2K | $640.42 | 1.87x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $155.1K | $79.09 | 1.83x |
| 17000 | Destruction of skin growth | 5.0K | $155.1K | $31.13 | 3.23x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 804 | $141.5K | $175.97 | 2.93x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 394 | $117.7K | $298.82 | 1.97x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.8K | $114.7K | $62.04 | 1.94x |
| 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 | 154 | $92.3K | $599.22 | 1.94x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 436 | $87.7K | $201.17 | 2.56x |
| 11102 | Tangential biopsy of single skin lesion | 1.4K | $74.2K | $53.62 | 3.35x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 515 | $65.1K | $126.31 | 3.06x |
This provider submits charges 2.18 times higher than what Medicare actually pays.
A markup ratio of 2.18x means for every $100 Medicare pays, this provider initially charges $218. 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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