This provider averages 61 services per working day
Based on 153.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 61 services per working day raises questions about billing patterns.
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 | $225.13 | $99.14 | 2.27x | $125.99 | $935.4K | 15.6K | 11.8K |
| 2015 | $237.88 | $105.68 | 2.25x | $132.20 | $865.5K | 14.3K | 11.0K |
| 2016 | $257.74 | $104.45 | 2.47x | $153.29 | $994.6K | 15.3K | 12.0K |
| 2017 | $269.60 | $98.80 | 2.73x | $170.80 | $936.5K | 14.1K | 11.1K |
| 2018 | $249.01 | $100.34 | 2.48x | $148.67 | $1.2M | 16.7K | 10.9K |
| 2019 | $278.29 | $101.47 | 2.74x | $176.82 | $1.3M | 17.2K | 10.9K |
| 2020 | $343.47 | $110.18 | 3.12x | $233.29 | $1.2M | 15.4K | 9.6K |
| 2021 | $338.36 | $108.84 | 3.11x | $229.52 | $1.3M | 14.8K | 9.5K |
| 2022 | $326.60 | $102.10 | 3.20x | $224.50 | $1.2M | 13.9K | 9.5K |
| 2023 | $324.65 | $101.76 | 3.19x | $222.89 | $1.3M | 16.0K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 13.3K | $1.4M | $108.51 | 2.64x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 12.1K | $1.2M | $96.93 | 2.39x |
| 77280 | Management of radiation therapy simulation, simple | 5.4K | $1.1M | $203.80 | 2.36x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.7K | $923.7K | $344.04 | 2.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.7K | $899.7K | $50.96 | 2.40x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 5.6K | $495.0K | $88.49 | 2.58x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 9.1K | $484.1K | $52.99 | 3.74x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 5.6K | $373.9K | $66.22 | 3.15x |
| 17000 | Destruction of skin growth | 13.0K | $348.9K | $26.78 | 3.77x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.1K | $341.5K | $299.26 | 2.41x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 4.8K | $320.0K | $66.03 | 3.17x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.2K | $296.3K | $70.00 | 2.36x |
| 11643 | Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips | 2.0K | $234.2K | $114.31 | 4.73x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 613 | $227.3K | $370.74 | 2.13x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.3K | $212.0K | $169.44 | 2.69x |
| 40490 | Biopsy of lip | 3.3K | $208.1K | $63.42 | 2.99x |
| 69100 | Biopsy of ear | 5.0K | $189.3K | $38.14 | 4.00x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.8K | $178.7K | $101.46 | 4.49x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.8K | $160.6K | $42.59 | 3.03x |
| 11102 | Tangential biopsy of single skin lesion | 3.0K | $136.5K | $44.90 | 4.05x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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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