This provider averages 72 services per working day
Based on 179.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.3M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 72 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 275% 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 | $151.43 | $78.94 | 1.92x | $72.49 | $371.2K | 6.7K | 4.7K |
| 2015 | $165.18 | $86.51 | 1.91x | $78.67 | $535.4K | 10.2K | 6.7K |
| 2016 | $172.50 | $91.58 | 1.88x | $80.92 | $616.1K | 11.4K | 7.5K |
| 2017 | $187.00 | $100.80 | 1.86x | $86.20 | $871.7K | 15.6K | 10.0K |
| 2018 | $208.88 | $105.20 | 1.99x | $103.68 | $1.1M | 19.4K | 12.7K |
| 2019 | $220.41 | $105.18 | 2.10x | $115.23 | $1.4M | 24.6K | 15.6K |
| 2020 | $205.55 | $99.52 | 2.07x | $106.03 | $1.2M | 21.3K | 14.1K |
| 2021 | $211.43 | $104.83 | 2.02x | $106.60 | $1.4M | 22.4K | 15.3K |
| 2022 | $203.33 | $93.43 | 2.18x | $109.90 | $1.4M | 24.5K | 16.2K |
| 2023 | $212.00 | $99.47 | 2.13x | $112.53 | $1.4M | 23.7K | 15.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17110 | Destruction of up to 14 skin growths | 28.3K | $2.5M | $86.79 | 1.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 33.9K | $1.9M | $57.02 | 1.86x |
| 17000 | Destruction of skin growth | 29.0K | $901.8K | $31.06 | 3.68x |
| 11102 | Tangential biopsy of single skin lesion | 13.4K | $747.6K | $55.78 | 2.69x |
| 17004 | Destruction of 15 or more skin growths | 4.7K | $604.3K | $127.27 | 2.15x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.1K | $430.2K | $60.36 | 2.13x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.5K | $380.3K | $85.12 | 1.84x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.3K | $336.4K | $36.10 | 1.96x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.2K | $297.5K | $251.95 | 1.64x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.9K | $275.6K | $70.94 | 2.01x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.9K | $273.5K | $144.56 | 2.38x |
| 17111 | Destruction of 15 or more skin growths | 2.4K | $245.1K | $100.10 | 1.85x |
| 11103 | Tangential biopsy of additional skin lesion | 5.4K | $244.5K | $44.95 | 1.78x |
| 11401 | Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs | 1.6K | $167.3K | $107.16 | 1.94x |
| 12034 | Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 461 | $122.6K | $265.88 | 1.60x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 562 | $116.4K | $207.08 | 1.89x |
| 17003 | Destruction of 2-14 skin growths | 21.9K | $109.6K | $5.01 | 3.70x |
| 11601 | Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs | 557 | $77.1K | $138.44 | 2.26x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 663 | $76.3K | $115.07 | 2.06x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 2.9K | $76.0K | $26.36 | 1.74x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ 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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