This provider's $5.9M 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 | $458.93 | $136.35 | 3.37x | $322.58 | $450.8K | 5.5K | 3.1K |
| 2015 | $355.27 | $99.93 | 3.56x | $255.34 | $547.7K | 6.9K | 4.2K |
| 2016 | $335.27 | $114.03 | 2.94x | $221.24 | $572.6K | 7.1K | 4.4K |
| 2017 | $345.48 | $111.97 | 3.09x | $233.51 | $589.9K | 7.0K | 4.2K |
| 2018 | $323.89 | $94.77 | 3.42x | $229.12 | $564.1K | 7.4K | 3.9K |
| 2019 | $331.95 | $97.75 | 3.40x | $234.20 | $611.5K | 7.2K | 3.9K |
| 2020 | $261.57 | $91.90 | 2.85x | $169.67 | $533.9K | 6.4K | 3.5K |
| 2021 | $294.14 | $98.84 | 2.98x | $195.30 | $686.0K | 7.1K | 4.1K |
| 2022 | $298.05 | $98.73 | 3.02x | $199.32 | $684.7K | 7.1K | 4.1K |
| 2023 | $257.85 | $88.82 | 2.90x | $169.03 | $632.5K | 6.7K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 27.5K | $3.1M | $111.84 | 4.47x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.1K | $1.0M | $54.01 | 1.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.1K | $457.0K | $89.20 | 1.60x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.6K | $257.1K | $70.69 | 1.85x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 955 | $203.1K | $212.65 | 1.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $118.9K | $113.00 | 2.00x |
| 17000 | Destruction of skin growth | 2.0K | $96.1K | $48.12 | 3.74x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 767 | $75.6K | $98.55 | 3.65x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.0K | $63.9K | $31.53 | 1.97x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 244 | $63.8K | $261.33 | 1.91x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 522 | $59.2K | $113.36 | 3.70x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 155 | $59.0K | $380.84 | 2.73x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 527 | $44.6K | $84.70 | 4.25x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 315 | $34.7K | $110.08 | 2.27x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 276 | $29.4K | $106.40 | 3.76x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 170 | $28.3K | $166.69 | 1.80x |
| 10060 | Drainage of abscess | 268 | $24.5K | $91.52 | 1.75x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 252 | $21.4K | $85.00 | 3.53x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 177 | $19.3K | $109.13 | 9.16x |
| 17110 | Destruction of up to 14 skin growths | 200 | $17.3K | $86.41 | 1.89x |
This provider submits charges 3.32 times higher than what Medicare actually pays.
A markup ratio of 3.32x means for every $100 Medicare pays, this provider initially charges $332. 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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