This provider's $6.4M in total Medicare payments ranks in the 96th percentile of Micrographic Dermatologic Surgery providers nationally.
Their average markup ratio of 5.46x is significantly above the specialty median of 3.1x.
Medicare payments to this provider grew 4051% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2157% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $517.55 | $102.56 | 5.05x | $414.99 | $29.8K | 402 | 377 |
| 2017 | $1.1K | $226.29 | 5.06x | $917.97 | $673.7K | 4.6K | 3.4K |
| 2018 | $1.2K | $230.19 | 5.26x | $979.81 | $758.3K | 5.6K | 4.1K |
| 2019 | $1.3K | $258.36 | 4.96x | $1.0K | $887.7K | 5.8K | 4.2K |
| 2020 | $1.3K | $267.86 | 5.03x | $1.1K | $984.4K | 5.5K | 4.1K |
| 2021 | $1.4K | $266.83 | 5.22x | $1.1K | $758.2K | 3.5K | 2.7K |
| 2022 | $1.5K | $251.76 | 5.79x | $1.2K | $1.1M | 5.1K | 4.0K |
| 2023 | $1.5K | $248.25 | 6.16x | $1.3K | $1.2M | 6.0K | 4.6K |
| 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) | 3.1K | $1.1M | $368.08 | 7.08x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.3K | $791.7K | $339.22 | 4.66x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 703 | $375.2K | $533.72 | 5.50x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 387 | $339.0K | $876.04 | 4.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.7K | $292.2K | $61.99 | 3.41x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.9K | $257.8K | $89.47 | 3.54x |
| 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 | 317 | $233.5K | $736.49 | 4.89x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 432 | $230.3K | $533.16 | 5.62x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 293 | $220.7K | $753.31 | 5.14x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 286 | $217.8K | $761.59 | 5.14x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 891 | $183.8K | $206.31 | 8.85x |
| 17004 | Destruction of 15 or more skin growths | 1.4K | $178.8K | $127.16 | 4.96x |
| 15730 | Creation of flap graft to midface | 119 | $148.3K | $1.2K | 4.89x |
| 17110 | Destruction of up to 14 skin growths | 1.8K | $141.0K | $79.29 | 5.52x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 353 | $135.7K | $384.45 | 6.17x |
| 17000 | Destruction of skin growth | 2.7K | $95.6K | $35.21 | 5.84x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 273 | $91.7K | $336.01 | 4.55x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 202 | $90.7K | $449.03 | 6.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $87.5K | $82.79 | 3.78x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 452 | $83.7K | $185.11 | 4.93x |
This provider submits charges 5.46 times higher than what Medicare actually pays.
A markup ratio of 5.46x means for every $100 Medicare pays, this provider initially charges $546. 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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