This provider's $7.5M 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 | $262.18 | $124.91 | 2.10x | $137.27 | $700.9K | 9.7K | 7.7K |
| 2015 | $254.96 | $118.06 | 2.16x | $136.90 | $688.3K | 9.6K | 7.7K |
| 2016 | $261.96 | $121.23 | 2.16x | $140.73 | $818.8K | 10.9K | 8.4K |
| 2017 | $272.38 | $125.74 | 2.17x | $146.64 | $813.1K | 10.7K | 8.2K |
| 2018 | $349.60 | $116.88 | 2.99x | $232.72 | $768.3K | 10.9K | 8.3K |
| 2019 | $360.69 | $116.98 | 3.08x | $243.71 | $730.4K | 9.8K | 7.6K |
| 2020 | $352.15 | $116.97 | 3.01x | $235.18 | $647.4K | 8.9K | 6.9K |
| 2021 | $353.97 | $117.76 | 3.01x | $236.21 | $723.7K | 9.5K | 7.3K |
| 2022 | $349.41 | $115.75 | 3.02x | $233.66 | $686.1K | 9.3K | 6.9K |
| 2023 | $351.59 | $120.24 | 2.92x | $231.35 | $897.7K | 12.1K | 9.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 24.6K | $1.5M | $59.82 | 2.45x |
| 17000 | Destruction of skin growth | 15.0K | $500.2K | $33.31 | 3.82x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.1K | $480.2K | $68.06 | 2.31x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $471.0K | $390.53 | 2.25x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.1K | $368.5K | $348.00 | 2.21x |
| 17004 | Destruction of 15 or more skin growths | 3.1K | $363.8K | $116.86 | 2.74x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.1K | $266.5K | $237.30 | 2.05x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.8K | $225.0K | $128.04 | 3.44x |
| 17110 | Destruction of up to 14 skin growths | 3.2K | $215.6K | $67.73 | 2.98x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 2.1K | $204.9K | $95.97 | 2.88x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 2.6K | $198.5K | $75.95 | 3.14x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.8K | $172.7K | $35.69 | 2.09x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.2K | $153.1K | $122.77 | 3.72x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 297 | $123.7K | $416.35 | 2.13x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 862 | $113.4K | $131.50 | 3.88x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 332 | $107.6K | $324.05 | 2.34x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1.8K | $102.6K | $55.94 | 2.58x |
| 11102 | Tangential biopsy of single skin lesion | 1.6K | $97.1K | $60.55 | 3.51x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 885 | $95.4K | $107.78 | 2.89x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.0K | $84.0K | $83.99 | 3.14x |
This provider submits charges 2.69 times higher than what Medicare actually pays.
A markup ratio of 2.69x means for every $100 Medicare pays, this provider initially charges $269. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Thi Tran, DO | The Villages, FL | $37.6M | ✓ Clear |
| Neil Sandhu, MD | Orange City, FL | $36.2M | ✓ Clear |
| David Casper, M.D. | The Villages, FL | $35.4M | ✓ 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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