This provider's $9.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 164% from 2014 to 2023.
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 | $244.41 | $112.05 | 2.18x | $132.36 | $547.6K | 6.8K | 2.9K |
| 2015 | $236.65 | $107.77 | 2.20x | $128.88 | $587.0K | 8.3K | 3.2K |
| 2016 | $282.64 | $137.07 | 2.06x | $145.57 | $755.2K | 9.9K | 4.1K |
| 2017 | $279.51 | $139.17 | 2.01x | $140.34 | $900.7K | 10.9K | 4.4K |
| 2018 | $300.32 | $150.49 | 2.00x | $149.83 | $1.0M | 11.6K | 4.9K |
| 2019 | $323.25 | $154.41 | 2.09x | $168.84 | $1.2M | 13.5K | 5.9K |
| 2020 | $319.25 | $149.52 | 2.14x | $169.73 | $977.2K | 11.4K | 5.1K |
| 2021 | $379.14 | $150.47 | 2.52x | $228.67 | $1.2M | 12.9K | 5.7K |
| 2022 | $428.68 | $151.42 | 2.83x | $277.26 | $969.6K | 11.1K | 5.7K |
| 2023 | $481.67 | $189.81 | 2.54x | $291.86 | $1.4M | 15.6K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.9K | $991.2K | $66.53 | 2.03x |
| 96921 | Laser treatment (250 to 500 sq centimeters) for inflammatory skin disease | 4.6K | $791.2K | $173.24 | 2.19x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 5.0K | $775.1K | $154.75 | 2.18x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 7.1K | $746.3K | $104.62 | 2.00x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 12.4K | $551.0K | $44.54 | 2.15x |
| 17110 | Destruction of up to 14 skin growths | 5.0K | $484.9K | $97.49 | 2.92x |
| 77280 | Management of radiation therapy simulation, simple | 1.7K | $459.8K | $275.85 | 1.45x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6.5K | $438.7K | $67.45 | 3.15x |
| 17000 | Destruction of skin growth | 9.2K | $421.7K | $45.73 | 3.05x |
| 77290 | Management of radiation therapy, simulation, complex | 697 | $347.5K | $498.52 | 2.24x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 606 | $334.7K | $552.37 | 2.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $323.5K | $93.66 | 2.08x |
| 77401 | Radiation treatment delivery, superficial | 10.7K | $309.6K | $28.93 | 2.21x |
| 77300 | Calculation of radiation therapy dose | 4.5K | $283.4K | $62.91 | 2.16x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 731 | $205.6K | $281.24 | 2.31x |
| 11102 | Tangential biopsy of single skin lesion | 2.1K | $163.7K | $76.41 | 2.53x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 551 | $151.4K | $274.70 | 2.00x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.9K | $139.1K | $73.00 | 2.22x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $124.2K | $82.40 | 2.29x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 281 | $109.4K | $389.34 | 1.94x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ Clear |
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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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