This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Undefined Physician type 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 | $1.2K | $475.86 | 2.42x | $676.08 | $428.1K | 1.0K | 895 |
| 2015 | $1.0K | $404.60 | 2.56x | $629.57 | $465.9K | 1.1K | 950 |
| 2016 | $995.10 | $385.50 | 2.58x | $609.60 | $416.3K | 1.0K | 875 |
| 2017 | $1.2K | $436.67 | 2.73x | $755.15 | $386.8K | 951 | 837 |
| 2018 | $1.1K | $393.60 | 2.88x | $741.87 | $347.8K | 885 | 802 |
| 2019 | $990.48 | $366.77 | 2.70x | $623.71 | $351.0K | 868 | 741 |
| 2020 | $1.0K | $394.71 | 2.56x | $614.52 | $389.8K | 878 | 750 |
| 2021 | $1.0K | $402.64 | 2.48x | $597.71 | $509.6K | 1.1K | 932 |
| 2022 | $960.56 | $384.86 | 2.50x | $575.70 | $500.7K | 1.1K | 945 |
| 2023 | $954.15 | $339.93 | 2.81x | $614.22 | $499.5K | 1.1K | 998 |
| 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) | 3.7K | $2.2M | $584.37 | 2.24x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.4K | $552.2K | $383.77 | 2.06x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 900 | $537.6K | $597.37 | 2.15x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.0K | $229.2K | $229.22 | 7.03x |
| 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 | 239 | $214.3K | $896.55 | 2.26x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 197 | $187.7K | $953.01 | 2.31x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 292 | $108.6K | $371.95 | 1.99x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 395 | $95.7K | $242.25 | 2.01x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $89.2K | $68.37 | 1.75x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 228 | $46.8K | $205.29 | 3.74x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 129 | $14.9K | $115.82 | 3.89x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 19 | $13.8K | $726.16 | 2.20x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 85 | $13.4K | $157.68 | 3.17x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 53 | $12.7K | $239.92 | 5.35x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 52 | $10.1K | $195.18 | 3.33x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 61 | $9.7K | $159.62 | 3.13x |
| 11100 | Biopsy of single growth of skin and/or tissue | 12 | $906.99 | $75.58 | 2.65x |
| 11102 | Biopsy of related skin growth, first growth | 11 | $879.42 | $79.95 | 2.50x |
This provider submits charges 2.48 times higher than what Medicare actually pays.
A markup ratio of 2.48x means for every $100 Medicare pays, this provider initially charges $248. This is higher 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data