This provider's $7.7M 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $199.11 | $97.29 | 2.05x | $101.82 | $790.2K | 6.8K | 5.5K |
| 2015 | $213.34 | $103.98 | 2.05x | $109.36 | $697.6K | 6.3K | 5.6K |
| 2016 | $199.57 | $105.65 | 1.89x | $93.92 | $631.8K | 6.0K | 5.4K |
| 2017 | $230.51 | $138.46 | 1.66x | $92.05 | $702.8K | 7.5K | 6.7K |
| 2018 | $252.44 | $97.41 | 2.59x | $155.03 | $728.3K | 7.6K | 6.7K |
| 2019 | $245.63 | $98.34 | 2.50x | $147.29 | $839.7K | 8.4K | 7.1K |
| 2020 | $223.86 | $107.19 | 2.09x | $116.67 | $797.3K | 7.5K | 6.4K |
| 2021 | $242.04 | $119.25 | 2.03x | $122.79 | $879.4K | 8.5K | 6.8K |
| 2022 | $280.68 | $117.47 | 2.39x | $163.21 | $807.4K | 8.2K | 6.5K |
| 2023 | $285.67 | $121.40 | 2.35x | $164.27 | $801.3K | 7.0K | 5.9K |
| 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) | 5.8K | $2.4M | $406.97 | 2.36x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.7K | $520.2K | $306.92 | 2.98x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $478.7K | $293.85 | 1.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.8K | $433.8K | $75.25 | 2.10x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.3K | $430.7K | $52.04 | 2.21x |
| 11102 | Tangential biopsy of single skin lesion | 6.7K | $395.0K | $59.19 | 2.95x |
| 11100 | Biopsy of single growth of skin and/or tissue | 6.1K | $339.7K | $55.90 | 2.30x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.5K | $259.8K | $175.04 | 1.46x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.5K | $201.5K | $134.58 | 1.82x |
| 77280 | Management of radiation therapy simulation, simple | 900 | $178.2K | $197.95 | 1.50x |
| 88331 | Pathology examination of tissue during surgery | 2.2K | $162.8K | $73.40 | 1.93x |
| 11103 | Tangential biopsy of additional skin lesion | 3.9K | $144.5K | $36.90 | 2.69x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $132.4K | $72.10 | 2.10x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 707 | $106.6K | $150.78 | 1.72x |
| Q4188 | Amnioarmor, per square centimeter | 132 | $103.9K | $787.11 | 1.33x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 4.0K | $92.3K | $23.34 | 2.10x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.8K | $91.0K | $32.01 | 2.10x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 263 | $74.3K | $282.51 | 1.97x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 405 | $71.4K | $176.27 | 1.56x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 425 | $66.4K | $156.23 | 1.87x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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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