This provider's $5.1M in total Medicare payments ranks in the 98th 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 | $273.13 | $132.93 | 2.05x | $140.20 | $456.9K | 7.6K | 5.6K |
| 2015 | $243.43 | $112.76 | 2.16x | $130.67 | $434.8K | 7.4K | 5.6K |
| 2016 | $259.68 | $121.47 | 2.14x | $138.21 | $482.9K | 8.2K | 6.0K |
| 2017 | $251.25 | $124.82 | 2.01x | $126.43 | $473.3K | 8.2K | 6.1K |
| 2018 | $225.97 | $104.33 | 2.17x | $121.64 | $483.3K | 8.5K | 6.4K |
| 2019 | $248.55 | $115.01 | 2.16x | $133.54 | $497.5K | 8.4K | 6.6K |
| 2020 | $273.48 | $117.97 | 2.32x | $155.51 | $506.8K | 7.8K | 6.2K |
| 2021 | $300.60 | $128.06 | 2.35x | $172.54 | $545.7K | 8.3K | 6.6K |
| 2022 | $268.40 | $112.35 | 2.39x | $156.05 | $539.3K | 8.3K | 6.4K |
| 2023 | $258.67 | $105.97 | 2.44x | $152.70 | $636.5K | 9.7K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.6K | $868.7K | $59.53 | 1.71x |
| 17000 | Destruction of skin growth | 16.0K | $566.3K | $35.35 | 2.84x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.4K | $536.4K | $72.52 | 1.79x |
| 11102 | Tangential biopsy of single skin lesion | 7.6K | $536.4K | $70.85 | 2.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.5K | $397.2K | $88.38 | 2.14x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.3K | $334.3K | $252.67 | 1.69x |
| 17110 | Destruction of up to 14 skin growths | 3.8K | $318.3K | $82.96 | 1.96x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.9K | $232.1K | $124.47 | 2.62x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 709 | $168.5K | $237.68 | 1.87x |
| 11103 | Tangential biopsy of additional skin lesion | 2.9K | $130.2K | $44.52 | 1.89x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 923 | $116.7K | $126.45 | 3.25x |
| 10060 | Drainage of abscess | 927 | $83.8K | $90.40 | 1.88x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 2.9K | $71.8K | $25.17 | 3.97x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.9K | $68.5K | $37.02 | 2.08x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 403 | $54.8K | $135.90 | 2.56x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 746 | $54.3K | $72.75 | 3.44x |
| 17003 | Destruction of 2-14 skin growths | 10.0K | $50.8K | $5.10 | 5.47x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 150 | $34.6K | $230.62 | 1.87x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 319 | $34.2K | $107.16 | 3.44x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 89 | $31.8K | $357.43 | 1.60x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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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