This provider's $7.0M in total Medicare payments ranks in the 98th 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 | $238.35 | $179.02 | 1.33x | $59.33 | $941.2K | 8.6K | 5.7K |
| 2015 | $253.28 | $189.12 | 1.34x | $64.16 | $825.4K | 7.6K | 5.2K |
| 2016 | $264.61 | $191.60 | 1.38x | $73.01 | $757.4K | 7.0K | 4.7K |
| 2017 | $240.91 | $168.41 | 1.43x | $72.50 | $786.5K | 7.4K | 4.9K |
| 2018 | $245.90 | $173.75 | 1.42x | $72.15 | $655.8K | 6.4K | 4.2K |
| 2019 | $270.18 | $190.17 | 1.42x | $80.01 | $653.7K | 6.1K | 4.1K |
| 2020 | $244.05 | $165.71 | 1.47x | $78.34 | $511.8K | 5.0K | 3.5K |
| 2021 | $274.44 | $193.28 | 1.42x | $81.16 | $640.7K | 5.5K | 3.8K |
| 2022 | $271.37 | $188.63 | 1.44x | $82.74 | $636.2K | 5.7K | 3.9K |
| 2023 | $249.38 | $169.24 | 1.47x | $80.14 | $605.5K | 5.8K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 11.6K | $1.5M | $132.71 | 1.35x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 14.2K | $888.9K | $62.69 | 1.37x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 631 | $361.2K | $572.42 | 1.33x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 873 | $351.8K | $403.03 | 1.34x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 349 | $308.4K | $883.70 | 1.30x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 3.2K | $244.6K | $77.61 | 1.47x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.8K | $233.3K | $82.95 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.4K | $206.3K | $61.53 | 1.41x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.7K | $194.2K | $113.19 | 1.46x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 518 | $180.7K | $348.77 | 1.29x |
| 17283 | Destruction of malignant growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 803 | $166.7K | $207.63 | 1.34x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 1.0K | $154.3K | $148.94 | 1.37x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 1.1K | $149.8K | $134.11 | 1.39x |
| 17273 | Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals | 878 | $148.8K | $169.50 | 1.35x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.6K | $137.5K | $85.66 | 1.44x |
| 11303 | Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs | 1.1K | $134.6K | $118.25 | 1.45x |
| 11102 | Tangential biopsy of single skin lesion | 1.6K | $128.9K | $79.36 | 1.47x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 245 | $106.4K | $434.42 | 1.32x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 1.0K | $105.2K | $104.88 | 1.42x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 907 | $97.1K | $107.07 | 1.45x |
This provider submits charges 1.39 times higher than what Medicare actually pays.
A markup ratio of 1.39x means for every $100 Medicare pays, this provider initially charges $139. This is lower 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.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ Clear |
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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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