This provider's $4.9M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 5748% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 773% in 2015
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 | $134.25 | $31.68 | 4.24x | $102.57 | $14.4K | 549 | 457 |
| 2015 | $505.69 | $155.83 | 3.25x | $349.86 | $125.6K | 930 | 897 |
| 2016 | $785.01 | $225.36 | 3.48x | $559.65 | $396.2K | 2.3K | 2.0K |
| 2017 | $793.12 | $238.73 | 3.32x | $554.39 | $433.4K | 2.3K | 2.0K |
| 2018 | $775.45 | $240.74 | 3.22x | $534.71 | $520.7K | 2.9K | 2.6K |
| 2019 | $808.45 | $250.25 | 3.23x | $558.20 | $552.7K | 2.6K | 2.4K |
| 2020 | $815.03 | $241.12 | 3.38x | $573.91 | $548.7K | 2.3K | 2.1K |
| 2021 | $700.64 | $244.52 | 2.87x | $456.12 | $603.8K | 2.3K | 1.9K |
| 2022 | $703.25 | $246.62 | 2.85x | $456.63 | $818.6K | 3.0K | 2.1K |
| 2023 | $704.59 | $250.27 | 2.82x | $454.32 | $840.7K | 2.9K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 4.4K | $1.9M | $432.41 | 2.73x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.9K | $360.5K | $186.22 | 6.25x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.2K | $353.2K | $295.09 | 2.36x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 806 | $345.8K | $429.00 | 2.53x |
| Q4194 | Novachor, per square centimeter | 244 | $198.3K | $812.82 | 1.97x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 220 | $164.0K | $745.58 | 2.39x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 195 | $145.8K | $747.81 | 3.40x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 678 | $120.4K | $177.55 | 4.65x |
| 15576 | Creation of flap graft to eyelids, nose, ears, lips, or mouth | 203 | $118.0K | $581.32 | 3.04x |
| Q4159 | Affinity, per square centimeter | 202 | $105.9K | $524.01 | 3.05x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 2.0K | $100.6K | $50.42 | 2.33x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 501 | $95.0K | $189.62 | 5.95x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $91.3K | $50.08 | 2.26x |
| 15630 | Transfer of skin flap to eyelids, nose, ears, or lips | 198 | $65.2K | $329.33 | 3.09x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 602 | $62.8K | $104.27 | 5.79x |
| Q4197 | Puraply xt, per square centimeter | 304 | $56.0K | $184.17 | 3.26x |
| 11100 | Biopsy of single growth of skin and/or tissue | 777 | $49.5K | $63.76 | 2.77x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 89 | $49.0K | $550.19 | 3.20x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 591 | $43.6K | $73.78 | 2.21x |
| 21235 | Obtaining ear cartilage for grafting | 95 | $43.3K | $456.10 | 2.69x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. 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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