This provider's $11.1M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 57% 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 | $535.11 | $173.45 | 3.09x | $361.66 | $937.7K | 9.6K | 7.4K |
| 2015 | $578.31 | $188.57 | 3.07x | $389.74 | $892.8K | 7.1K | 5.7K |
| 2016 | $558.70 | $181.75 | 3.07x | $376.95 | $1.1M | 11.4K | 8.8K |
| 2017 | $545.09 | $175.36 | 3.11x | $369.73 | $1.0M | 9.9K | 7.7K |
| 2018 | $511.89 | $166.17 | 3.08x | $345.72 | $1.4M | 13.2K | 8.6K |
| 2019 | $558.51 | $180.85 | 3.09x | $377.66 | $975.9K | 8.0K | 6.2K |
| 2020 | $597.55 | $193.46 | 3.09x | $404.09 | $747.2K | 5.4K | 4.2K |
| 2021 | $474.07 | $157.20 | 3.02x | $316.87 | $1.0M | 11.1K | 8.4K |
| 2022 | $560.34 | $191.48 | 2.93x | $368.86 | $1.5M | 18.1K | 12.1K |
| 2023 | $598.59 | $208.56 | 2.87x | $390.03 | $1.5M | 16.7K | 10.1K |
| 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) | 5.0K | $2.4M | $488.80 | 2.74x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.0K | $948.7K | $312.69 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.1K | $885.7K | $55.05 | 2.76x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.9K | $762.3K | $264.69 | 3.33x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 3.4K | $673.0K | $198.46 | 5.40x |
| 88331 | Pathology examination of tissue during surgery | 7.8K | $588.8K | $75.97 | 2.41x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 11.5K | $553.7K | $48.35 | 3.51x |
| 11102 | Tangential biopsy of single skin lesion | 7.1K | $512.5K | $72.46 | 2.73x |
| 11100 | Biopsy of single growth of skin and/or tissue | 6.5K | $461.5K | $71.18 | 2.91x |
| 17004 | Destruction of 15 or more skin growths | 3.5K | $428.3K | $122.24 | 2.71x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 895 | $423.9K | $473.65 | 2.61x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.2K | $372.4K | $303.52 | 2.64x |
| 17000 | Destruction of skin growth | 10.6K | $351.1K | $33.12 | 4.37x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $193.2K | $94.34 | 2.32x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 2.0K | $187.6K | $92.58 | 5.38x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 816 | $169.4K | $207.60 | 5.25x |
| 11103 | Tangential biopsy of additional skin lesion | 4.0K | $160.1K | $40.26 | 2.57x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 474 | $141.3K | $298.08 | 2.51x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $131.0K | $72.63 | 2.97x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 157 | $96.6K | $615.17 | 2.58x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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