This provider averages 53 services per working day
Based on 133.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $36.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1454% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 967% in 2021
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 | $239.47 | $98.30 | 2.44x | $141.17 | $1.2M | 12.0K | 34 |
| 2015 | $271.93 | $108.96 | 2.50x | $162.97 | $1.0M | 9.5K | 32 |
| 2016 | $325.11 | $165.00 | 1.97x | $160.11 | $836.4K | 5.1K | 31 |
| 2017 | $342.32 | $115.92 | 2.95x | $226.40 | $768.7K | 6.6K | 32 |
| 2018 | $351.55 | $109.69 | 3.20x | $241.86 | $833.2K | 7.6K | 38 |
| 2019 | $378.75 | $122.07 | 3.10x | $256.68 | $685.2K | 5.6K | 37 |
| 2020 | $95.72 | $62.64 | 1.53x | $33.08 | $273.4K | 4.4K | 23 |
| 2021 | $465.80 | $261.70 | 1.78x | $204.10 | $2.9M | 11.1K | 32 |
| 2022 | $490.91 | $300.69 | 1.63x | $190.22 | $9.4M | 31.2K | 38 |
| 2023 | $681.89 | $455.23 | 1.50x | $226.66 | $18.3M | 40.2K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 12.0K | $8.9M | $742.70 | 1.48x |
| Q4262 | Dual layer impax membrane, per square centimeter | 8.3K | $8.7M | $1.0K | 1.31x |
| Q4276 | Orion, per square centimeter | 3.5K | $4.0M | $1.1K | 1.28x |
| Q4197 | Puraply xt, per square centimeter | 12.5K | $2.6M | $211.03 | 1.56x |
| Q4159 | Affinity, per square centimeter | 1.6K | $1.4M | $844.38 | 1.47x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 2.1K | $978.9K | $467.94 | 2.41x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 2.1K | $663.3K | $309.11 | 2.33x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 934 | $552.0K | $591.03 | 2.44x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2.6K | $540.9K | $206.15 | 2.36x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 1.8K | $492.0K | $269.16 | 2.04x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 8.5K | $487.6K | $57.30 | 2.48x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 5.1K | $479.1K | $94.60 | 2.41x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.7K | $463.5K | $279.58 | 1.87x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 3.2K | $432.1K | $136.18 | 2.74x |
| 77285 | Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas | 1.1K | $372.9K | $332.64 | 2.90x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.1K | $359.6K | $70.10 | 2.83x |
| 17315 | Removal and microscopic exam of growth, each additional block after 5 tissue blocks | 5.1K | $312.2K | $61.43 | 2.55x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 1.1K | $310.8K | $289.35 | 2.72x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 610 | $292.5K | $479.53 | 2.20x |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 939 | $264.3K | $281.43 | 2.71x |
This provider submits charges 1.73 times higher than what Medicare actually pays.
A markup ratio of 1.73x means for every $100 Medicare pays, this provider initially charges $173. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Thi Tran, DO | The Villages, FL | $37.6M | ✓ Clear |
| David Casper, M.D. | The Villages, FL | $35.4M | ✓ 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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