This provider's $6.4M 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 | $136.54 | $84.99 | 1.61x | $51.55 | $499.5K | 7.5K | 3.7K |
| 2015 | $141.54 | $88.57 | 1.60x | $52.97 | $533.4K | 7.2K | 3.7K |
| 2016 | $141.07 | $89.42 | 1.58x | $51.65 | $679.6K | 8.2K | 3.9K |
| 2017 | $156.13 | $96.99 | 1.61x | $59.14 | $738.8K | 8.6K | 4.2K |
| 2018 | $156.51 | $94.41 | 1.66x | $62.10 | $771.4K | 8.8K | 4.3K |
| 2019 | $157.49 | $101.32 | 1.55x | $56.17 | $779.3K | 7.8K | 4.3K |
| 2020 | $159.74 | $100.67 | 1.59x | $59.07 | $588.5K | 5.4K | 3.1K |
| 2021 | $156.35 | $99.34 | 1.57x | $57.01 | $586.4K | 5.2K | 2.8K |
| 2022 | $161.53 | $99.39 | 1.63x | $62.14 | $614.8K | 5.7K | 2.9K |
| 2023 | $164.45 | $98.14 | 1.68x | $66.31 | $591.2K | 5.4K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 11.4K | $1.3M | $114.42 | 1.35x |
| 17111 | Destruction of 15 or more skin growths | 11.3K | $1.0M | $91.06 | 1.45x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 3.2K | $689.6K | $218.31 | 1.29x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.8K | $402.0K | $225.96 | 1.35x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6.5K | $342.9K | $53.09 | 1.34x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 4.7K | $342.1K | $72.49 | 1.31x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 1.4K | $292.6K | $205.78 | 1.34x |
| 17110 | Destruction of up to 14 skin growths | 3.1K | $242.7K | $78.10 | 1.43x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 821 | $179.3K | $218.43 | 1.40x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 761 | $166.6K | $218.92 | 1.33x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 1.3K | $151.3K | $119.97 | 1.32x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 610 | $127.6K | $209.15 | 1.44x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.9K | $119.3K | $62.00 | 1.67x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 910 | $88.3K | $97.05 | 1.39x |
| 17000 | Destruction of skin growth | 3.3K | $87.6K | $26.19 | 2.68x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 801 | $85.2K | $106.39 | 2.68x |
| 11102 | Tangential biopsy of single skin lesion | 1.2K | $84.3K | $68.02 | 1.50x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.7K | $79.9K | $47.12 | 1.59x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 756 | $70.8K | $93.68 | 2.66x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 627 | $65.4K | $104.26 | 2.62x |
This provider submits charges 1.46 times higher than what Medicare actually pays.
A markup ratio of 1.46x means for every $100 Medicare pays, this provider initially charges $146. This is lower 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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