This provider's $6.9M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 98% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $366.72 | $118.71 | 3.09x | $248.01 | $476.9K | 7.0K | 5.4K |
| 2015 | $410.56 | $112.84 | 3.64x | $297.72 | $489.2K | 7.9K | 6.3K |
| 2016 | $388.01 | $109.24 | 3.55x | $278.77 | $553.7K | 8.8K | 7.0K |
| 2017 | $491.32 | $136.19 | 3.61x | $355.13 | $638.5K | 9.7K | 7.8K |
| 2018 | $430.08 | $134.43 | 3.20x | $295.65 | $632.1K | 9.4K | 7.8K |
| 2019 | $471.18 | $164.68 | 2.86x | $306.50 | $672.9K | 9.6K | 7.9K |
| 2020 | $417.88 | $145.80 | 2.87x | $272.08 | $687.7K | 10.1K | 7.6K |
| 2021 | $372.33 | $136.01 | 2.74x | $236.32 | $868.0K | 12.0K | 9.1K |
| 2022 | $405.38 | $144.24 | 2.81x | $261.14 | $968.0K | 13.1K | 9.8K |
| 2023 | $438.05 | $152.77 | 2.87x | $285.28 | $942.7K | 13.1K | 10.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.6K | $1.1M | $83.06 | 2.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.9K | $1.1M | $58.75 | 3.05x |
| 17000 | Destruction of skin growth | 16.5K | $722.5K | $43.75 | 3.52x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 6.2K | $476.8K | $77.12 | 3.20x |
| 11102 | Tangential biopsy of single skin lesion | 4.7K | $367.6K | $77.91 | 2.70x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 2.7K | $328.1K | $122.17 | 3.20x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.7K | $290.4K | $79.38 | 3.26x |
| 96910 | Skin application of tar and ultraviolet b or petrolatum and ultraviolet b | 3.0K | $286.9K | $96.69 | 2.54x |
| 88331 | Pathology examination of tissue during surgery | 2.4K | $198.1K | $81.84 | 2.53x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 441 | $150.2K | $340.63 | 2.83x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 614 | $147.3K | $239.92 | 1.56x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 382 | $146.5K | $383.44 | 2.90x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 594 | $143.5K | $241.58 | 2.76x |
| 17004 | Destruction of 15 or more skin growths | 884 | $110.4K | $124.93 | 2.86x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 574 | $97.4K | $169.74 | 2.70x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 137 | $86.2K | $629.08 | 2.62x |
| 17110 | Destruction of up to 14 skin growths | 1.0K | $84.8K | $84.58 | 2.89x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 786 | $84.2K | $107.10 | 5.19x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 242 | $76.3K | $315.23 | 2.86x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 343 | $74.8K | $218.04 | 2.66x |
This provider submits charges 3.04 times higher than what Medicare actually pays.
A markup ratio of 3.04x means for every $100 Medicare pays, this provider initially charges $304. 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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