This provider averages 61 services per working day
Based on 151.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.1M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 61 services per working day raises questions about billing patterns.
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 | $247.86 | $101.26 | 2.45x | $146.60 | $891.3K | 16.8K | 10.2K |
| 2015 | $277.75 | $113.12 | 2.46x | $164.63 | $887.7K | 15.9K | 10.1K |
| 2016 | $221.01 | $81.74 | 2.70x | $139.27 | $882.6K | 16.6K | 10.1K |
| 2017 | $235.50 | $89.33 | 2.64x | $146.17 | $827.3K | 15.4K | 9.3K |
| 2018 | $230.29 | $89.15 | 2.58x | $141.14 | $941.2K | 15.7K | 9.3K |
| 2019 | $209.65 | $83.89 | 2.50x | $125.76 | $968.6K | 15.6K | 9.1K |
| 2020 | $223.81 | $95.44 | 2.35x | $128.37 | $851.6K | 12.9K | 7.8K |
| 2021 | $244.76 | $104.81 | 2.34x | $139.95 | $970.5K | 13.6K | 8.4K |
| 2022 | $228.47 | $92.26 | 2.48x | $136.21 | $944.2K | 13.8K | 8.2K |
| 2023 | $216.69 | $85.10 | 2.55x | $131.59 | $975.8K | 15.0K | 8.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 30.7K | $2.2M | $71.04 | 1.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 34.3K | $1.7M | $49.58 | 1.72x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.8K | $777.2K | $206.65 | 1.94x |
| 17000 | Destruction of skin growth | 16.2K | $614.9K | $37.88 | 2.82x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.4K | $489.0K | $66.39 | 1.78x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $428.6K | $349.33 | 2.29x |
| 17110 | Destruction of up to 14 skin growths | 5.8K | $424.5K | $73.83 | 1.95x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.0K | $321.7K | $64.53 | 2.26x |
| 17004 | Destruction of 15 or more skin growths | 3.0K | $317.7K | $105.80 | 3.30x |
| 11102 | Tangential biopsy of single skin lesion | 3.1K | $200.9K | $63.85 | 2.23x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.6K | $160.1K | $44.37 | 2.12x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.5K | $142.5K | $94.02 | 3.30x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $132.9K | $66.71 | 2.00x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 994 | $114.1K | $114.82 | 4.35x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.0K | $108.1K | $104.79 | 3.58x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 357 | $78.3K | $219.26 | 2.28x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 252 | $78.2K | $310.28 | 1.70x |
| 11104 | Punch biopsy of single skin lesion | 815 | $68.6K | $84.12 | 2.09x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 895 | $64.1K | $71.61 | 2.88x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 588 | $59.8K | $101.77 | 3.93x |
This provider submits charges 2.11 times higher than what Medicare actually pays.
A markup ratio of 2.11x means for every $100 Medicare pays, this provider initially charges $211. 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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