This provider's $7.2M 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 | $484.74 | $169.45 | 2.86x | $315.29 | $640.9K | 8.1K | 6.2K |
| 2015 | $476.39 | $174.53 | 2.73x | $301.86 | $680.6K | 7.8K | 6.1K |
| 2016 | $515.64 | $189.22 | 2.73x | $326.42 | $729.2K | 8.7K | 6.6K |
| 2017 | $514.71 | $186.74 | 2.76x | $327.97 | $762.9K | 8.6K | 6.5K |
| 2018 | $526.67 | $180.13 | 2.92x | $346.54 | $779.8K | 8.7K | 6.5K |
| 2019 | $545.74 | $181.71 | 3.00x | $364.03 | $760.2K | 8.2K | 6.2K |
| 2020 | $537.64 | $188.21 | 2.86x | $349.43 | $658.7K | 7.0K | 5.5K |
| 2021 | $537.64 | $199.29 | 2.70x | $338.35 | $728.8K | 8.3K | 6.3K |
| 2022 | $546.97 | $194.04 | 2.82x | $352.93 | $801.7K | 8.8K | 6.7K |
| 2023 | $567.06 | $196.81 | 2.88x | $370.25 | $703.4K | 7.7K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 13.3K | $1.8M | $135.80 | 3.50x |
| 17000 | Destruction of skin growth | 19.8K | $1.1M | $57.32 | 2.82x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.8K | $1.1M | $634.22 | 2.91x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.4K | $535.7K | $378.85 | 3.30x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 841 | $500.9K | $595.62 | 2.77x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 11.5K | $471.1K | $40.96 | 2.19x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 6.9K | $424.9K | $61.17 | 2.12x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.3K | $308.5K | $92.99 | 2.15x |
| 11102 | Tangential biopsy of single skin lesion | 2.5K | $231.3K | $90.98 | 2.20x |
| 17110 | Destruction of up to 14 skin growths | 2.2K | $220.6K | $98.86 | 1.97x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 463 | $168.2K | $363.27 | 3.16x |
| 17003 | Destruction of 2-14 skin growths | 15.4K | $91.7K | $5.97 | 5.47x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 161 | $41.8K | $259.46 | 2.89x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 177 | $41.5K | $234.48 | 1.66x |
| 17264 | Destruction of malignant growth (3.1 to 4.0 centimeters) of trunk, arms, or legs | 195 | $37.2K | $190.62 | 2.81x |
| 11103 | Tangential biopsy of additional skin lesion | 464 | $22.6K | $48.80 | 2.05x |
| 69100 | Biopsy of ear | 283 | $22.5K | $79.46 | 3.27x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 613 | $18.6K | $30.31 | 3.30x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 72 | $12.3K | $171.37 | 2.85x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 164 | $8.6K | $52.69 | 2.33x |
This provider submits charges 2.91 times higher than what Medicare actually pays.
A markup ratio of 2.91x means for every $100 Medicare pays, this provider initially charges $291. 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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