This provider's $8.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 64% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2019
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 | $352.38 | $109.63 | 3.21x | $242.75 | $631.4K | 10.2K | 8.1K |
| 2015 | $515.72 | $141.33 | 3.65x | $374.39 | $700.2K | 8.1K | 6.5K |
| 2016 | $527.17 | $152.00 | 3.47x | $375.17 | $664.6K | 8.2K | 6.3K |
| 2017 | $486.63 | $150.30 | 3.24x | $336.33 | $630.5K | 8.5K | 6.5K |
| 2018 | $420.11 | $126.76 | 3.31x | $293.35 | $622.3K | 8.8K | 6.0K |
| 2019 | $408.29 | $128.90 | 3.17x | $279.39 | $1.0M | 11.4K | 5.6K |
| 2020 | $359.84 | $107.89 | 3.34x | $251.95 | $902.7K | 10.0K | 5.2K |
| 2021 | $365.60 | $120.01 | 3.05x | $245.59 | $1.4M | 13.3K | 5.7K |
| 2022 | $335.17 | $105.55 | 3.18x | $229.62 | $1.0M | 9.8K | 4.3K |
| 2023 | $385.78 | $122.92 | 3.14x | $262.86 | $1.0M | 8.2K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 8.9K | $1.9M | $210.71 | 2.49x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.4K | $1.2M | $471.55 | 2.66x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 9.4K | $1.0M | $107.44 | 2.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $561.7K | $68.66 | 2.75x |
| 17110 | Destruction of up to 14 skin growths | 6.4K | $483.0K | $74.99 | 2.83x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.1K | $444.1K | $211.40 | 2.53x |
| 17000 | Destruction of skin growth | 12.4K | $414.3K | $33.54 | 3.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.0K | $395.6K | $49.55 | 2.79x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 881 | $262.7K | $298.22 | 2.61x |
| 77401 | Radiation treatment delivery, superficial | 9.6K | $249.5K | $25.91 | 3.15x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.2K | $201.5K | $63.02 | 3.82x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 911 | $177.8K | $195.16 | 5.84x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.2K | $110.6K | $93.95 | 4.85x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 121 | $92.2K | $762.14 | 2.69x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 370 | $88.4K | $239.00 | 3.69x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 484 | $88.1K | $182.07 | 2.92x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $75.4K | $64.81 | 2.95x |
| 77336 | Radiation therapy consultation per week | 1.2K | $75.3K | $61.60 | 2.62x |
| 11102 | Tangential biopsy of single skin lesion | 1.3K | $72.2K | $56.09 | 3.44x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 553 | $70.0K | $126.62 | 4.76x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. 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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