This provider's $15.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 60% 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 | $470.57 | $227.67 | 2.07x | $242.90 | $1.1M | 5.2K | 4.6K |
| 2015 | $437.91 | $204.13 | 2.15x | $233.78 | $1.2M | 5.9K | 5.1K |
| 2016 | $500.33 | $234.15 | 2.14x | $266.18 | $1.6M | 7.5K | 6.6K |
| 2017 | $473.93 | $221.79 | 2.14x | $252.14 | $1.7M | 7.6K | 6.7K |
| 2018 | $477.02 | $213.94 | 2.23x | $263.08 | $1.7M | 8.0K | 6.9K |
| 2019 | $440.70 | $207.97 | 2.12x | $232.73 | $1.6M | 7.3K | 6.2K |
| 2020 | $456.70 | $210.24 | 2.17x | $246.46 | $1.6M | 7.0K | 6.0K |
| 2021 | $494.17 | $215.81 | 2.29x | $278.36 | $1.6M | 6.8K | 6.0K |
| 2022 | $562.56 | $217.07 | 2.59x | $345.49 | $1.6M | 6.9K | 6.0K |
| 2023 | $552.98 | $212.45 | 2.60x | $340.53 | $1.7M | 7.5K | 6.6K |
| 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) | 8.2K | $2.4M | $296.93 | 3.31x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 7.4K | $2.3M | $311.89 | 1.99x |
| 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 | 1.9K | $1.2M | $639.44 | 1.96x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 3.5K | $1.1M | $322.55 | 2.85x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 1.5K | $1.1M | $721.36 | 2.03x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 1.2K | $969.9K | $820.59 | 2.00x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 2.9K | $856.7K | $298.19 | 2.02x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 1.2K | $726.2K | $597.73 | 1.98x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.3K | $711.7K | $529.53 | 1.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.3K | $676.0K | $81.81 | 1.96x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 917 | $461.2K | $502.92 | 1.91x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.1K | $394.6K | $190.44 | 3.54x |
| 88331 | Pathology examination of tissue during surgery | 4.5K | $353.8K | $78.60 | 1.88x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.9K | $336.0K | $177.14 | 3.09x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 512 | $233.1K | $455.26 | 1.97x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 270 | $191.3K | $708.44 | 1.84x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.0K | $185.2K | $176.91 | 2.93x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $155.2K | $78.85 | 1.97x |
| 11106 | Incisional biopsy of single skin lesion | 1.9K | $117.3K | $62.71 | 5.90x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.0K | $83.0K | $41.65 | 3.00x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. 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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