This provider averages 192 services per working day
Based on 479.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $35.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 192 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 423% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 324% in 2023
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 | $97.90 | $62.59 | 1.56x | $35.31 | $2.6M | 40.8K | 49 |
| 2015 | $86.39 | $51.92 | 1.66x | $34.47 | $2.6M | 50.0K | 47 |
| 2016 | $89.20 | $50.67 | 1.76x | $38.53 | $3.1M | 60.4K | 44 |
| 2017 | $83.36 | $50.18 | 1.66x | $33.18 | $2.4M | 46.9K | 35 |
| 2018 | $54.11 | $31.20 | 1.73x | $22.91 | $1.5M | 47.4K | 27 |
| 2019 | $58.59 | $36.94 | 1.59x | $21.65 | $1.7M | 44.7K | 22 |
| 2020 | $75.94 | $49.33 | 1.54x | $26.61 | $2.3M | 47.5K | 28 |
| 2021 | $127.70 | $62.47 | 2.04x | $65.23 | $2.8M | 44.8K | 32 |
| 2022 | $136.60 | $63.43 | 2.15x | $73.17 | $3.2M | 49.7K | 34 |
| 2023 | $455.87 | $281.52 | 1.62x | $174.35 | $13.4M | 47.5K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4281 | Barrera sl or barrera dl, per square centimeter | 5.2K | $6.4M | $1.3K | 1.52x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 7.2K | $3.4M | $475.29 | 1.82x |
| Q4236 | Carepatch, per square centimeter | 3.4K | $3.4M | $986.85 | 1.46x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33.6K | $2.5M | $74.93 | 1.73x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 7.4K | $2.3M | $313.53 | 1.60x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 14.3K | $1.7M | $117.53 | 1.70x |
| 17000 | Destruction of precancer skin growth, 1 growth | 45.0K | $1.6M | $35.48 | 2.31x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22.8K | $1.3M | $55.68 | 1.98x |
| 17110 | Destruction of skin growth, 1-14 growths | 14.7K | $1.2M | $80.63 | 1.73x |
| 11100 | Biopsy of single growth of skin and/or tissue | 15.0K | $1.0M | $69.20 | 1.64x |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 201.5K | $960.8K | $4.77 | 1.68x |
| 11102 | Biopsy of related skin growth, first growth | 13.9K | $906.4K | $65.28 | 2.00x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 648 | $749.7K | $1.2K | 1.30x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 1.5K | $633.2K | $424.67 | 1.96x |
| 11103 | Biopsy of related skin growth, each additional growth | 13.3K | $552.5K | $41.59 | 1.60x |
| 96920 | Treatment of inflammatory skin disease using laser, less than 250.0 sq cm | 3.8K | $462.7K | $122.15 | 1.55x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 1.3K | $409.5K | $305.15 | 1.56x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 5.8K | $403.7K | $69.94 | 1.76x |
| 77290 | Management of radiation therapy, simulation, complex | 897 | $342.1K | $381.34 | 1.42x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 13.0K | $330.4K | $25.48 | 1.43x |
This provider submits charges 1.71 times higher than what Medicare actually pays.
A markup ratio of 1.71x means for every $100 Medicare pays, this provider initially charges $171. 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 |
| Neil Sandhu, MD | Orange City, FL | $36.2M | ✓ 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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