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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Todd Coven
๐Ÿงด
MDIndividual

Todd Coven, M.D.

NPI: 1215943121
Huntington Station, NY
10 years of data
Micrographic Dermatologic Surgery
$14.1M
Total Payments
24.0K
Beneficiaries
28.7K
Services
3.1x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$14.1M
Specialty median$558.8K

๐Ÿ“‹ Key Findings

1Billed $14.1M over 10 years
23.1x markup ratio (above median)
398th percentile in Micrographic Dermatologic Surgery by payments
411 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $14.1M in total Medicare payments ranks in the 98th 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.1K$384.202.88x$721.14$1.2M2.6K2.1K
2015$1.5K$463.683.18x$1.0K$1.3M2.6K2.2K
2016$1.5K$397.873.83x$1.1K$1.5M3.1K2.6K
2017$2.0K$365.895.36x$1.6K$1.4M2.9K2.4K
2018$1.8K$342.235.18x$1.4K$1.6M3.2K2.8K
2019$1.6K$298.165.28x$1.3K$1.6M3.3K2.7K
2020$1.4K$361.403.76x$997.89$1.3M2.7K2.2K
2021$1.7K$390.574.34x$1.3K$1.6M3.1K2.6K
2022$1.7K$347.954.85x$1.3K$1.2M2.4K2.1K
2023$2.0K$398.785.01x$1.6K$1.4M2.8K2.3K

Top Procedures (15)

17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)โš  3.1x markup
$7.1M
11.7K services$607.85/svc3.14x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitalsโš  3.2x markup
$3.2M
8.7K services$371.34/svc3.17x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)
$2.5M
4.3K services$567.30/svc2.49x markup
17314Removal and microscopic examination of growth of the trunk, arms, or legs
$932.6K
2.6K services$355.54/svc2.57x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lipsโš  4.3x markup
$117.8K
165 services$713.81/svc4.34x markup
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  9.8x markup
$77.4K
425 services$182.06/svc9.78x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  10.7x markup
$61.3K
283 services$216.67/svc10.66x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.6x markup
$51.4K
72 services$714.51/svc4.64x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legsโš  8.2x markup
$25.4K
130 services$195.55/svc8.18x markup
13120Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legsโš  7.8x markup
$19.8K
120 services$165.40/svc7.83x markup
13151Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lipsโš  9.3x markup
$5.1K
26 services$194.38/svc9.30x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$5.0K
121 services$41.35/svc2.73x markup
13101Repair of wound (2.6 to 7.5 centimeters) of trunkโš  10.4x markup
$2.0K
11 services$180.75/svc10.37x markup
13100Repair of wound (1.1 to 2.5 centimeters) of trunkโš  8.0x markup
$1.8K
11 services$159.54/svc8.03x markup
11100Biopsy of single growth of skin and/or tissue
$1.7K
21 services$83.02/svc2.41x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)11.7K$7.1M$607.853.14x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals8.7K$3.2M$371.343.17x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)4.3K$2.5M$567.302.49x
17314Removal and microscopic examination of growth of the trunk, arms, or legs2.6K$932.6K$355.542.57x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips165$117.8K$713.814.34x
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet425$77.4K$182.069.78x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet283$61.3K$216.6710.66x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet72$51.4K$714.514.64x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs130$25.4K$195.558.18x
13120Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs120$19.8K$165.407.83x
13151Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips26$5.1K$194.389.30x
99212Established patient office or other outpatient visit, typically 10 minutes121$5.0K$41.352.73x
13101Repair of wound (2.6 to 7.5 centimeters) of trunk11$2.0K$180.7510.37x
13100Repair of wound (1.1 to 2.5 centimeters) of trunk11$1.8K$159.548.03x
11100Biopsy of single growth of skin and/or tissue21$1.7K$83.022.41x

Markup Analysis

Charge-to-Payment Ratio

3.1x

This provider submits charges 3.1 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. This is higher than the national average.

Location

Huntington Station, NY

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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