This provider's $8.7M 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 | $526.86 | $232.85 | 2.26x | $294.01 | $747.2K | 2.7K | 2.5K |
| 2015 | $507.28 | $221.77 | 2.29x | $285.51 | $727.7K | 2.7K | 2.5K |
| 2016 | $523.63 | $235.05 | 2.23x | $288.58 | $765.2K | 2.7K | 2.5K |
| 2017 | $545.81 | $240.68 | 2.27x | $305.13 | $726.2K | 2.7K | 2.5K |
| 2018 | $592.25 | $262.20 | 2.26x | $330.05 | $733.3K | 2.6K | 2.4K |
| 2019 | $678.23 | $276.30 | 2.45x | $401.93 | $740.2K | 2.6K | 2.4K |
| 2020 | $828.49 | $285.34 | 2.90x | $543.15 | $845.6K | 2.8K | 2.5K |
| 2021 | $752.06 | $227.57 | 3.30x | $524.49 | $1.2M | 4.4K | 3.9K |
| 2022 | $843.93 | $268.18 | 3.15x | $575.75 | $1.1M | 3.8K | 3.4K |
| 2023 | $763.25 | $234.13 | 3.26x | $529.12 | $1.1M | 4.1K | 3.5K |
| 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) | 7.5K | $4.2M | $561.31 | 2.18x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.7K | $969.5K | $559.09 | 1.63x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.9K | $641.6K | $217.86 | 3.66x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $587.9K | $356.93 | 1.68x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.1K | $407.5K | $66.86 | 2.61x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.7K | $328.7K | $89.38 | 2.12x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 1.3K | $287.9K | $229.41 | 4.96x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.3K | $261.5K | $209.19 | 5.02x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 318 | $220.7K | $694.11 | 2.22x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 244 | $217.6K | $891.65 | 2.40x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 862 | $132.8K | $154.08 | 5.52x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 768 | $113.6K | $147.86 | 3.12x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 339 | $76.7K | $226.22 | 2.47x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 247 | $36.5K | $147.83 | 3.24x |
| 12053 | Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 184 | $32.5K | $176.51 | 5.43x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 84 | $28.9K | $344.11 | 1.81x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 32 | $27.6K | $862.81 | 3.47x |
| 11102 | Tangential biopsy of single skin lesion | 286 | $24.1K | $84.16 | 2.71x |
| 11100 | Biopsy of single growth of skin and/or tissue | 263 | $23.0K | $87.59 | 1.83x |
| 12034 | Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 89 | $20.3K | $227.98 | 4.38x |
This provider submits charges 2.5 times higher than what Medicare actually pays.
A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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