This provider's $16.2M 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 | $514.88 | $194.75 | 2.64x | $320.13 | $1.5M | 10.0K | 8.4K |
| 2015 | $517.87 | $198.35 | 2.61x | $319.52 | $1.6M | 13.0K | 10.9K |
| 2016 | $532.13 | $192.75 | 2.76x | $339.38 | $1.5M | 11.9K | 10.1K |
| 2017 | $550.11 | $182.45 | 3.02x | $367.66 | $1.7M | 12.5K | 10.7K |
| 2018 | $544.10 | $177.08 | 3.07x | $367.02 | $1.9M | 13.2K | 11.1K |
| 2019 | $573.76 | $185.31 | 3.10x | $388.45 | $1.8M | 13.3K | 11.3K |
| 2020 | $651.67 | $170.29 | 3.83x | $481.38 | $1.6M | 11.1K | 9.4K |
| 2021 | $745.13 | $180.71 | 4.12x | $564.42 | $1.4M | 10.1K | 8.6K |
| 2022 | $775.55 | $179.19 | 4.33x | $596.36 | $1.5M | 9.9K | 8.4K |
| 2023 | $756.08 | $177.58 | 4.26x | $578.50 | $1.6M | 10.7K | 9.3K |
| 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) | 12.7K | $5.1M | $399.22 | 3.65x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 6.4K | $2.4M | $371.03 | 3.81x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.7K | $1.4M | $292.21 | 3.20x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 22.9K | $1.2M | $50.96 | 4.18x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 1.4K | $1.0M | $742.54 | 2.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.6K | $529.7K | $49.85 | 2.30x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.9K | $519.6K | $182.31 | 5.26x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.4K | $407.7K | $168.76 | 4.78x |
| 17000 | Destruction of skin growth | 10.3K | $306.5K | $29.82 | 4.69x |
| 17110 | Destruction of up to 14 skin growths | 4.6K | $294.7K | $64.04 | 3.14x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 411 | $220.9K | $537.39 | 2.67x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 437 | $213.9K | $489.50 | 2.42x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.9K | $203.4K | $51.86 | 3.01x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 312 | $202.8K | $650.02 | 3.02x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.0K | $176.2K | $173.22 | 4.15x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.1K | $165.8K | $53.55 | 2.23x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.3K | $160.2K | $122.95 | 4.58x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 277 | $142.0K | $512.75 | 2.57x |
| 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 | 201 | $132.6K | $659.93 | 2.51x |
| 11102 | Tangential biopsy of single skin lesion | 2.5K | $119.4K | $48.44 | 4.23x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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