This provider's $21.4M 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 | $358.49 | $161.65 | 2.22x | $196.84 | $1.7M | 9.1K | 8.0K |
| 2015 | $342.80 | $154.25 | 2.22x | $188.55 | $1.9M | 10.0K | 8.8K |
| 2016 | $352.84 | $163.51 | 2.16x | $189.33 | $2.3M | 12.6K | 11.1K |
| 2017 | $345.69 | $151.18 | 2.29x | $194.51 | $2.4M | 13.5K | 11.9K |
| 2018 | $426.79 | $211.59 | 2.02x | $215.20 | $2.2M | 11.6K | 10.0K |
| 2019 | $393.01 | $186.02 | 2.11x | $206.99 | $2.2M | 11.8K | 10.2K |
| 2020 | $449.82 | $212.60 | 2.12x | $237.22 | $2.1M | 10.4K | 9.2K |
| 2021 | $478.89 | $215.63 | 2.22x | $263.26 | $2.2M | 9.4K | 8.3K |
| 2022 | $466.46 | $196.30 | 2.38x | $270.16 | $2.3M | 9.3K | 8.2K |
| 2023 | $453.98 | $183.95 | 2.47x | $270.03 | $2.1M | 8.7K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 18.1K | $8.4M | $463.97 | 2.11x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 8.7K | $2.7M | $309.94 | 1.96x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 10.9K | $2.1M | $194.65 | 2.05x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 4.0K | $1.7M | $427.98 | 2.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.9K | $869.3K | $58.19 | 1.87x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 5.5K | $703.9K | $128.61 | 3.02x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 798 | $632.7K | $792.81 | 1.62x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 5.1K | $504.3K | $98.61 | 3.28x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 2.8K | $425.2K | $153.38 | 2.72x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.3K | $374.4K | $298.33 | 2.03x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.9K | $340.3K | $34.28 | 2.48x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 451 | $271.0K | $600.99 | 1.78x |
| 12034 | Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.1K | $224.0K | $208.00 | 2.11x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 1.8K | $215.2K | $118.22 | 3.10x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.6K | $170.9K | $65.66 | 2.13x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 194 | $140.9K | $726.20 | 1.80x |
| 12053 | Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 768 | $117.1K | $152.44 | 3.15x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.6K | $105.5K | $66.12 | 3.62x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 659 | $80.0K | $121.35 | 3.06x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 736 | $78.1K | $106.09 | 3.11x |
This provider submits charges 2.19 times higher than what Medicare actually pays.
A markup ratio of 2.19x means for every $100 Medicare pays, this provider initially charges $219. 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.
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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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