This provider averages 63 services per working day
Based on 125.9K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.9M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 63 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 12965% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 316% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $120.79 | $57.15 | 2.11x | $63.64 | $49.4K | 864 | 9 |
| 2017 | $124.11 | $58.43 | 2.12x | $65.68 | $82.0K | 1.4K | 12 |
| 2018 | $129.17 | $60.07 | 2.15x | $69.10 | $126.4K | 2.1K | 14 |
| 2019 | $110.12 | $52.14 | 2.11x | $57.98 | $310.1K | 5.9K | 21 |
| 2020 | $136.06 | $68.43 | 1.99x | $67.63 | $510.1K | 7.5K | 29 |
| 2021 | $191.23 | $88.61 | 2.16x | $102.62 | $2.1M | 23.9K | 48 |
| 2022 | $185.47 | $93.43 | 1.99x | $92.04 | $3.3M | 35.2K | 51 |
| 2023 | $253.47 | $131.52 | 1.93x | $121.95 | $6.5M | 49.0K | 50 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4234 | Xcellerate, per square centimeter | 3.4K | $2.2M | $636.45 | 1.93x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 19.9K | $2.0M | $102.39 | 1.73x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 21.8K | $1.4M | $62.99 | 1.78x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 14.5K | $1.2M | $82.91 | 1.68x |
| 88360 | Microscopic genetic analysis of tumor, manual | 7.1K | $785.1K | $110.46 | 1.69x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 6.6K | $623.3K | $93.83 | 1.69x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 7.3K | $562.3K | $76.66 | 1.69x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 2.5K | $393.4K | $158.95 | 1.68x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.6K | $353.2K | $97.51 | 1.89x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 1.7K | $251.8K | $149.32 | 1.74x |
| 11103 | Biopsy of related skin growth, each additional growth | 4.2K | $201.9K | $47.82 | 1.73x |
| 17273 | Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm | 1.6K | $170.5K | $107.82 | 2.99x |
| 17262 | Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | 2.0K | $168.5K | $83.21 | 3.33x |
| 17263 | Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm | 1.8K | $167.4K | $92.72 | 3.23x |
| 17272 | Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 1.7K | $152.2K | $88.17 | 3.31x |
| 17283 | Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm | 1.1K | $144.2K | $127.69 | 2.92x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 810 | $124.0K | $153.10 | 1.75x |
| 17282 | Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 1.2K | $120.9K | $98.85 | 3.21x |
| 17264 | Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm | 1.1K | $111.3K | $101.04 | 3.17x |
| 17266 | Destruction of cancer skin growth of trunk, arms, or legs, more than 4.0 cm | 773 | $101.5K | $131.26 | 2.76x |
This provider submits charges 1.99 times higher than what Medicare actually pays.
A markup ratio of 1.99x means for every $100 Medicare pays, this provider initially charges $199. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ Clear |
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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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