This provider's $6.6M 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.
Notable: Payments increased 79% 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 | $183.27 | $107.64 | 1.70x | $75.63 | $557.7K | 8.1K | 6.4K |
| 2015 | $194.92 | $114.71 | 1.70x | $80.21 | $553.6K | 8.2K | 6.5K |
| 2016 | $204.21 | $104.40 | 1.96x | $99.81 | $591.5K | 9.0K | 7.0K |
| 2017 | $207.34 | $98.16 | 2.11x | $109.18 | $622.1K | 9.3K | 7.3K |
| 2018 | $233.06 | $104.17 | 2.24x | $128.89 | $620.8K | 8.7K | 7.0K |
| 2019 | $219.58 | $104.68 | 2.10x | $114.90 | $684.5K | 9.1K | 7.1K |
| 2020 | $227.30 | $104.04 | 2.18x | $123.26 | $510.1K | 6.7K | 5.4K |
| 2021 | $320.03 | $136.93 | 2.34x | $183.10 | $913.2K | 8.5K | 6.2K |
| 2022 | $306.26 | $122.94 | 2.49x | $183.32 | $827.0K | 8.0K | 5.8K |
| 2023 | $321.97 | $125.39 | 2.57x | $196.58 | $767.1K | 7.7K | 5.5K |
| 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) | 2.7K | $1.3M | $491.51 | 1.77x |
| 17004 | Destruction of 15 or more skin growths | 11.4K | $1.2M | $107.55 | 1.86x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.4K | $507.6K | $210.11 | 1.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.7K | $463.7K | $48.02 | 2.00x |
| 17000 | Destruction of skin growth | 11.3K | $390.5K | $34.58 | 2.54x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.2K | $349.4K | $67.42 | 1.71x |
| 11102 | Tangential biopsy of single skin lesion | 5.2K | $339.8K | $65.14 | 2.07x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.1K | $239.1K | $76.06 | 2.05x |
| 17110 | Destruction of up to 14 skin growths | 2.6K | $206.1K | $78.92 | 1.88x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.6K | $154.0K | $97.58 | 3.17x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 956 | $123.8K | $129.54 | 2.88x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.7K | $112.0K | $30.16 | 1.88x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 330 | $98.0K | $297.11 | 1.66x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 558 | $88.5K | $158.55 | 2.37x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 786 | $87.5K | $111.37 | 2.85x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 164 | $76.8K | $468.00 | 1.90x |
| 11103 | Tangential biopsy of additional skin lesion | 1.8K | $71.1K | $39.61 | 1.81x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.5K | $65.1K | $42.51 | 2.17x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 167 | $52.1K | $312.22 | 1.62x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 810 | $51.1K | $63.06 | 2.22x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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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