This provider's $6.6M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 183% 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 | $207.55 | $90.76 | 2.29x | $116.79 | $318.1K | 5.9K | 5.2K |
| 2015 | $328.04 | $102.69 | 3.19x | $225.35 | $468.9K | 7.7K | 6.0K |
| 2016 | $352.82 | $110.42 | 3.20x | $242.40 | $500.0K | 8.3K | 6.5K |
| 2017 | $346.13 | $111.81 | 3.10x | $234.32 | $541.9K | 8.7K | 6.8K |
| 2018 | $353.01 | $111.50 | 3.17x | $241.51 | $676.7K | 11.2K | 8.6K |
| 2019 | $326.11 | $103.15 | 3.16x | $222.96 | $716.7K | 11.9K | 9.2K |
| 2020 | $318.55 | $103.40 | 3.08x | $215.15 | $718.1K | 12.0K | 9.4K |
| 2021 | $329.81 | $107.46 | 3.07x | $222.35 | $920.4K | 14.7K | 10.8K |
| 2022 | $331.79 | $106.13 | 3.13x | $225.66 | $796.9K | 12.9K | 9.4K |
| 2023 | $333.16 | $106.29 | 3.13x | $226.87 | $898.7K | 14.2K | 10.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 26.3K | $1.4M | $53.04 | 2.59x |
| 11102 | Tangential biopsy of single skin lesion | 9.2K | $626.7K | $68.07 | 2.97x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.6K | $600.4K | $232.19 | 2.55x |
| 17000 | Destruction of skin growth | 16.3K | $577.1K | $35.36 | 4.42x |
| 11100 | Biopsy of single growth of skin and/or tissue | 6.3K | $442.4K | $70.51 | 2.78x |
| 17004 | Destruction of 15 or more skin growths | 3.0K | $343.5K | $112.65 | 2.99x |
| 17110 | Destruction of up to 14 skin growths | 4.2K | $330.1K | $77.86 | 2.78x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.4K | $300.7K | $67.72 | 3.06x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 2.4K | $277.6K | $117.58 | 2.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.1K | $242.7K | $77.27 | 2.66x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 2.0K | $192.8K | $98.47 | 4.90x |
| 11103 | Tangential biopsy of additional skin lesion | 3.4K | $132.2K | $39.31 | 2.77x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 794 | $106.9K | $134.61 | 2.71x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 305 | $101.3K | $332.03 | 2.64x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 693 | $74.5K | $107.57 | 4.61x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $73.0K | $33.33 | 2.46x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 188 | $70.1K | $372.97 | 3.08x |
| 69100 | Biopsy of ear | 1.4K | $68.2K | $48.70 | 4.11x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 438 | $67.0K | $153.01 | 2.61x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 293 | $66.4K | $226.56 | 2.49x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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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