This provider's $8.9M in total Medicare payments ranks in the 97th percentile of Micrographic Dermatologic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $806.82 | $244.79 | 3.30x | $562.03 | $725.6K | 2.5K | 2.3K |
| 2015 | $681.52 | $216.14 | 3.15x | $465.38 | $868.7K | 2.9K | 2.7K |
| 2016 | $702.96 | $226.09 | 3.11x | $476.87 | $1.1M | 3.7K | 3.4K |
| 2017 | $302.93 | $171.72 | 1.76x | $131.21 | $879.3K | 3.6K | 3.2K |
| 2018 | $323.35 | $199.64 | 1.62x | $123.71 | $917.3K | 3.8K | 3.3K |
| 2019 | $262.45 | $171.14 | 1.53x | $91.31 | $985.0K | 4.3K | 3.5K |
| 2020 | $485.65 | $176.11 | 2.76x | $309.54 | $632.5K | 2.6K | 2.3K |
| 2021 | $640.71 | $181.64 | 3.53x | $459.07 | $883.5K | 3.6K | 3.1K |
| 2022 | $584.67 | $190.11 | 3.08x | $394.56 | $979.2K | 3.5K | 3.1K |
| 2023 | $511.78 | $160.38 | 3.19x | $351.40 | $981.4K | 2.9K | 2.6K |
| 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) | 8.6K | $4.7M | $551.11 | 2.18x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 5.6K | $1.9M | $348.25 | 1.99x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 997 | $524.7K | $526.26 | 2.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $242.1K | $65.90 | 2.25x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 769 | $171.0K | $222.37 | 5.08x |
| 88331 | Pathology examination of tissue during surgery | 1.6K | $125.9K | $78.38 | 1.99x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 340 | $116.6K | $342.85 | 2.24x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 159 | $111.3K | $700.07 | 2.72x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 146 | $99.5K | $681.49 | 2.18x |
| 11102 | Tangential biopsy of single skin lesion | 1.4K | $95.1K | $68.82 | 3.13x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.5K | $91.5K | $59.18 | 2.52x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 335 | $80.0K | $238.87 | 4.00x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 765 | $69.6K | $91.03 | 2.58x |
| 17000 | Destruction of skin growth | 1.4K | $65.5K | $46.00 | 2.86x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.0K | $61.6K | $61.07 | 1.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 472 | $45.5K | $96.46 | 2.64x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.0K | $41.6K | $39.73 | 2.40x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 202 | $36.1K | $178.68 | 4.51x |
| 17110 | Destruction of up to 14 skin growths | 348 | $32.3K | $92.77 | 2.58x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 39 | $31.7K | $812.98 | 1.57x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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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