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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Ralph Massullo
๐Ÿงด
MDIndividual

Ralph Massullo, MD

NPI: 1104810563
Lecanto, FL
10 years of data
Dermatology
$16.1M
Total Payments
62.9K
Beneficiaries
97.0K
Services
2.34x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$16.1M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $16.1M over 10 years
22.34x markup ratio (above median)
399th percentile in Dermatology by payments
43 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $16.1M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$657.24$283.472.32x$373.77$2.2M10.5K7.2K
2015$545.48$237.602.30x$307.88$2.0M10.5K7.0K
2016$485.23$211.302.30x$273.93$1.8M12.1K7.9K
2017$520.04$232.422.24x$287.62$1.4M9.9K6.7K
2018$507.56$236.552.15x$271.01$1.5M10.2K6.7K
2019$554.46$251.042.21x$303.42$1.4M9.0K5.9K
2020$422.31$224.571.88x$197.74$1.6M11.1K6.9K
2021$465.45$237.411.96x$228.04$1.5M9.8K5.9K
2022$485.76$233.892.08x$251.87$1.6M10.0K5.9K
2023$777.73$258.533.01x$519.20$1.0M4.0K2.7K

Top Procedures (20)

14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$2.2M
3.0K services$735.25/svc1.94x markup
14021Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs
$2.0M
2.9K services$683.14/svc1.94x markup
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)โš  3.3x markup
$1.9M
6.1K services$308.46/svc3.32x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals
$1.2M
3.8K services$307.29/svc2.01x markup
14301Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)
$1.1M
1.3K services$858.43/svc1.96x markup
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)
$1.0M
1.3K services$791.18/svc1.92x markup
88305Pathology examination of tissue using a microscope, intermediate complexityโš  4.7x markup
$836.4K
31.1K services$26.93/svc4.72x markup
14061Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips
$701.8K
935 services$750.56/svc2.06x markup
77280Management of radiation therapy simulation, simple
$620.4K
3.0K services$209.81/svc1.47x markup
14001Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk
$493.5K
782 services$631.08/svc1.96x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
$460.2K
1.4K services$322.93/svc1.96x markup
13101Repair of wound (2.6 to 7.5 centimeters) of trunk
$427.9K
1.4K services$296.73/svc1.97x markup
77401Radiation treatment delivery, superficial
$255.7K
10.3K services$24.78/svc1.77x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips
$237.4K
429 services$553.31/svc2.16x markup
96910Skin application of tar and ultraviolet B or petrolatum and ultraviolet B
$237.1K
3.9K services$60.52/svc1.88x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)โš  3.3x markup
$231.3K
789 services$293.21/svc3.30x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$207.9K
6.5K services$32.04/svc2.21x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$207.4K
613 services$338.36/svc2.50x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$197.6K
339 services$582.89/svc1.98x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$194.5K
3.4K services$57.92/svc2.06x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet3.0K$2.2M$735.251.94x
14021Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs2.9K$2.0M$683.141.94x
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)6.1K$1.9M$308.463.32x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals3.8K$1.2M$307.292.01x
14301Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)1.3K$1.1M$858.431.96x
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)1.3K$1.0M$791.181.92x
88305Pathology examination of tissue using a microscope, intermediate complexity31.1K$836.4K$26.934.72x
14061Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips935$701.8K$750.562.06x
77280Management of radiation therapy simulation, simple3.0K$620.4K$209.811.47x
14001Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk782$493.5K$631.081.96x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs1.4K$460.2K$322.931.96x
13101Repair of wound (2.6 to 7.5 centimeters) of trunk1.4K$427.9K$296.731.97x
77401Radiation treatment delivery, superficial10.3K$255.7K$24.781.77x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips429$237.4K$553.312.16x
96910Skin application of tar and ultraviolet B or petrolatum and ultraviolet B3.9K$237.1K$60.521.88x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)789$231.3K$293.213.30x
99212Established patient office or other outpatient visit, typically 10 minutes6.5K$207.9K$32.042.21x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet613$207.4K$338.362.50x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet339$197.6K$582.891.98x
99213Established patient office or other outpatient visit, typically 15 minutes3.4K$194.5K$57.922.06x

Markup Analysis

Charge-to-Payment Ratio

2.34x

This provider submits charges 2.34 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.34x means for every $100 Medicare pays, this provider initially charges $234. This is higher than the national average.

Location

Lecanto, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Dermatology providers in FL for peer comparison.

Ralph Massullo (you)
$16.1M
Thi Tran, DO
$37.6M
Neil Sandhu, MD
$36.2M
David Casper, M.D.
$35.4M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Thi Tran, DOThe Villages, FL$37.6Mโœ“ Clear
Neil Sandhu, MDOrange City, FL$36.2Mโœ“ Clear
David Casper, M.D.The Villages, FL$35.4Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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