This provider's $8.7M 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 | $317.30 | $150.54 | 2.11x | $166.76 | $877.0K | 11.0K | 7.7K |
| 2015 | $284.56 | $141.03 | 2.02x | $143.53 | $864.7K | 11.2K | 8.1K |
| 2016 | $279.42 | $140.31 | 1.99x | $139.11 | $833.1K | 11.1K | 8.1K |
| 2017 | $278.54 | $137.29 | 2.03x | $141.25 | $905.8K | 12.3K | 8.9K |
| 2018 | $305.45 | $140.83 | 2.17x | $164.62 | $825.6K | 11.4K | 8.6K |
| 2019 | $367.35 | $139.62 | 2.63x | $227.73 | $722.0K | 10.1K | 7.4K |
| 2020 | $333.38 | $131.42 | 2.54x | $201.96 | $688.5K | 9.4K | 6.7K |
| 2021 | $387.88 | $154.74 | 2.51x | $233.14 | $880.5K | 10.6K | 7.3K |
| 2022 | $462.77 | $142.82 | 3.24x | $319.95 | $981.9K | 12.6K | 8.8K |
| 2023 | $500.99 | $152.28 | 3.29x | $348.71 | $1.1M | 13.9K | 9.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 22.1K | $1.4M | $62.17 | 2.21x |
| 17000 | Destruction of skin growth | 17.6K | $683.8K | $38.77 | 4.25x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.7K | $618.9K | $80.78 | 1.88x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.2K | $597.9K | $266.94 | 2.32x |
| 11102 | Tangential biopsy of single skin lesion | 7.1K | $572.4K | $80.85 | 3.35x |
| 17110 | Destruction of up to 14 skin growths | 5.6K | $502.4K | $89.33 | 3.07x |
| 17004 | Destruction of 15 or more skin growths | 3.4K | $466.7K | $138.64 | 2.24x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.1K | $406.5K | $377.46 | 2.76x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 650 | $228.0K | $350.83 | 2.18x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.9K | $213.0K | $111.60 | 3.48x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.6K | $212.8K | $83.07 | 2.25x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 493 | $204.5K | $414.77 | 1.97x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 257 | $172.5K | $671.10 | 1.94x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.9K | $146.2K | $37.72 | 2.34x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 1.4K | $135.9K | $94.18 | 1.88x |
| 10060 | Drainage of abscess | 1.1K | $113.2K | $99.80 | 2.31x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 3.9K | $111.6K | $28.29 | 3.36x |
| 11103 | Tangential biopsy of additional skin lesion | 2.3K | $108.9K | $47.64 | 2.99x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 497 | $105.1K | $211.38 | 1.98x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 682 | $92.6K | $135.75 | 1.84x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. 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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