This provider averages 64 services per working day
Based on 112.4K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 64 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 6680% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1659% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $148.98 | $44.62 | 3.34x | $104.36 | $45.8K | 1.0K | 13 |
| 2018 | $168.18 | $49.03 | 3.43x | $119.15 | $290.7K | 5.9K | 22 |
| 2019 | $156.23 | $50.67 | 3.08x | $105.56 | $269.4K | 5.3K | 24 |
| 2020 | $93.85 | $50.66 | 1.85x | $43.19 | $211.4K | 4.2K | 22 |
| 2021 | $208.33 | $111.60 | 1.87x | $96.73 | $3.7M | 33.3K | 35 |
| 2022 | $209.68 | $107.33 | 1.95x | $102.35 | $3.6M | 33.1K | 39 |
| 2023 | $206.64 | $105.10 | 1.97x | $101.54 | $3.1M | 29.5K | 33 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 21.7K | $4.6M | $212.85 | 1.89x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 22.4K | $3.0M | $131.91 | 1.87x |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 21.2K | $685.3K | $32.38 | 1.87x |
| 77427 | Radiation treatment management, 5 treatment sessions | 4.0K | $594.8K | $147.70 | 1.89x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.8K | $277.9K | $57.65 | 2.61x |
| 77336 | Continuing radiation therapy consultation per week | 3.0K | $192.3K | $63.77 | 1.93x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.3K | $188.1K | $83.39 | 2.45x |
| 11102 | Biopsy of related skin growth, first growth | 2.0K | $132.0K | $66.08 | 2.37x |
| 17110 | Destruction of skin growth, 1-14 growths | 1.6K | $122.4K | $78.85 | 2.42x |
| 17000 | Destruction of precancer skin growth, 1 growth | 3.1K | $112.9K | $36.10 | 3.44x |
| 77300 | Calculation of radiation therapy dose | 1.8K | $92.7K | $50.94 | 1.92x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 748 | $88.8K | $118.67 | 2.28x |
| 77285 | Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas | 234 | $82.1K | $350.84 | 1.92x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 222 | $81.1K | $365.41 | 1.89x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 246 | $80.6K | $327.46 | 2.07x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 1.1K | $76.6K | $72.95 | 2.91x |
| 77334 | Design and construction of complex radiation treatment device | 669 | $66.0K | $98.65 | 2.00x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 249 | $59.3K | $238.23 | 2.36x |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 12.6K | $59.0K | $4.70 | 3.05x |
| 11103 | Biopsy of related skin growth, each additional growth | 1.4K | $55.8K | $40.61 | 1.86x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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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