This provider's $9.5M in total Medicare payments ranks in the 97th percentile of Micrographic Dermatologic Surgery providers nationally.
Medicare payments to this provider grew 722% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 567% in 2023
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $270.13 | $93.21 | 2.90x | $176.92 | $536.6K | 5.8K | 25 |
| 2015 | $227.07 | $103.54 | 2.19x | $123.53 | $630.8K | 6.1K | 27 |
| 2016 | $280.28 | $90.77 | 3.09x | $189.51 | $851.9K | 9.4K | 30 |
| 2017 | $325.97 | $92.63 | 3.52x | $233.34 | $866.1K | 9.3K | 30 |
| 2018 | $386.51 | $105.87 | 3.65x | $280.64 | $800.3K | 7.6K | 26 |
| 2019 | $370.69 | $95.89 | 3.87x | $274.80 | $126.7K | 1.3K | 16 |
| 2020 | $365.83 | $95.01 | 3.85x | $270.82 | $226.7K | 2.4K | 23 |
| 2021 | $329.30 | $88.28 | 3.73x | $241.02 | $351.1K | 4.0K | 26 |
| 2022 | $411.31 | $122.73 | 3.35x | $288.58 | $661.0K | 5.4K | 30 |
| 2023 | $889.62 | $251.66 | 3.54x | $637.96 | $4.4M | 17.5K | 30 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4180 | Revita, per square centimeter | 4.0K | $1.6M | $415.04 | 3.13x |
| Q4257 | Relese, per square centimeter | 3.0K | $1.6M | $509.57 | 3.24x |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 5.5K | $965.7K | $176.87 | 4.52x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 2.0K | $851.7K | $432.53 | 3.68x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.8K | $639.1K | $81.86 | 3.10x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 1.6K | $497.0K | $309.66 | 2.82x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 751 | $345.3K | $459.75 | 3.21x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.2K | $229.8K | $72.65 | 2.75x |
| 17110 | Destruction of skin growth, 1-14 growths | 2.5K | $209.8K | $82.68 | 2.92x |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 886 | $191.3K | $215.90 | 5.09x |
| 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 | 256 | $190.8K | $745.48 | 2.65x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 811 | $177.9K | $219.32 | 4.55x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 1.5K | $174.1K | $117.79 | 2.68x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.5K | $169.9K | $115.73 | 3.17x |
| 17000 | Destruction of precancer skin growth, 1 growth | 4.2K | $161.3K | $38.57 | 3.86x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 1.8K | $131.7K | $73.30 | 3.06x |
| Q4131 | Epifix or epicord, per square centimeter | 966 | $121.4K | $125.71 | 3.19x |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 439 | $118.3K | $269.46 | 3.42x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.0K | $107.7K | $54.88 | 2.65x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 121 | $96.2K | $794.73 | 2.81x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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