This provider's $8.0M in total Medicare payments ranks in the 99th 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.
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 | $531.39 | $196.28 | 2.71x | $335.11 | $679.5K | 5.8K | 4.8K |
| 2015 | $490.07 | $175.90 | 2.79x | $314.17 | $614.1K | 5.6K | 4.6K |
| 2016 | $462.05 | $167.83 | 2.75x | $294.22 | $565.9K | 5.0K | 4.2K |
| 2017 | $708.52 | $192.91 | 3.67x | $515.61 | $757.4K | 6.3K | 5.1K |
| 2018 | $667.91 | $170.65 | 3.91x | $497.26 | $846.5K | 7.6K | 5.9K |
| 2019 | $856.21 | $201.12 | 4.26x | $655.09 | $950.0K | 8.4K | 6.7K |
| 2020 | $793.13 | $223.31 | 3.55x | $569.82 | $836.5K | 7.6K | 6.1K |
| 2021 | $805.91 | $234.81 | 3.43x | $571.10 | $851.3K | 7.4K | 5.9K |
| 2022 | $707.59 | $220.86 | 3.20x | $486.73 | $877.5K | 8.2K | 6.4K |
| 2023 | $672.22 | $214.89 | 3.13x | $457.33 | $998.1K | 10.4K | 7.1K |
| 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) | 3.4K | $953.1K | $281.07 | 5.35x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.6K | $865.5K | $59.44 | 2.98x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.7K | $725.4K | $428.74 | 3.08x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.1K | $668.6K | $596.93 | 2.45x |
| 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 | 664 | $486.9K | $733.25 | 2.65x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 790 | $484.1K | $612.84 | 2.46x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.2K | $389.9K | $313.91 | 2.86x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 10.4K | $348.4K | $33.53 | 3.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.2K | $322.2K | $76.80 | 2.63x |
| 17000 | Destruction of skin growth | 7.2K | $298.3K | $41.28 | 3.75x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.3K | $252.6K | $202.07 | 4.48x |
| 11102 | Tangential biopsy of single skin lesion | 3.0K | $193.5K | $63.66 | 3.63x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.5K | $189.0K | $75.28 | 2.84x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 866 | $185.8K | $214.53 | 3.87x |
| 17004 | Destruction of 15 or more skin growths | 1.7K | $183.2K | $110.98 | 3.21x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 298 | $166.7K | $559.32 | 2.36x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 202 | $158.4K | $783.99 | 2.65x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 228 | $153.3K | $672.34 | 2.75x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.3K | $137.0K | $60.55 | 3.50x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 373 | $112.0K | $300.38 | 2.62x |
This provider submits charges 3.3 times higher than what Medicare actually pays.
A markup ratio of 3.3x means for every $100 Medicare pays, this provider initially charges $330. 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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