This provider's $12.7M in total Medicare payments ranks in the 98th percentile of Micrographic Dermatologic Surgery 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 | $282.10 | $194.04 | 1.45x | $88.06 | $1.1M | 7.6K | 5.3K |
| 2015 | $292.36 | $195.80 | 1.49x | $96.56 | $1.0M | 7.1K | 5.1K |
| 2016 | $412.59 | $186.75 | 2.21x | $225.84 | $1.1M | 7.7K | 5.5K |
| 2017 | $665.93 | $187.68 | 3.55x | $478.25 | $1.1M | 7.5K | 5.4K |
| 2018 | $526.64 | $151.81 | 3.47x | $374.83 | $1.3M | 10.3K | 6.3K |
| 2019 | $588.54 | $164.44 | 3.58x | $424.10 | $1.4M | 11.7K | 6.5K |
| 2020 | $531.66 | $161.96 | 3.28x | $369.70 | $1.3M | 11.1K | 5.8K |
| 2021 | $650.91 | $189.99 | 3.43x | $460.92 | $1.5M | 12.1K | 6.1K |
| 2022 | $541.18 | $155.68 | 3.48x | $385.50 | $1.5M | 11.9K | 6.0K |
| 2023 | $554.45 | $156.18 | 3.55x | $398.27 | $1.3M | 11.3K | 5.8K |
| 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) | 5.1K | $1.7M | $332.65 | 3.51x |
| 77280 | Management of radiation therapy simulation, simple | 6.9K | $1.4M | $204.47 | 2.37x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.8K | $1.4M | $291.47 | 2.41x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.7K | $915.0K | $535.71 | 2.88x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.6K | $777.4K | $301.56 | 3.61x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 7.3K | $722.5K | $98.45 | 2.79x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 2.4K | $658.3K | $279.52 | 2.37x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 1.2K | $595.5K | $481.38 | 2.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.3K | $564.5K | $50.07 | 2.04x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 886 | $497.0K | $561.00 | 3.19x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.6K | $439.1K | $266.93 | 1.96x |
| 17110 | Destruction of up to 14 skin growths | 5.3K | $370.5K | $70.42 | 2.54x |
| 17004 | Destruction of 15 or more skin growths | 3.3K | $344.7K | $104.67 | 3.00x |
| 17000 | Destruction of skin growth | 7.0K | $231.9K | $33.13 | 4.35x |
| 77401 | Radiation treatment delivery, superficial | 6.7K | $171.2K | $25.53 | 1.92x |
| 77427 | Radiation treatment management, 5 treatments | 1.1K | $158.4K | $144.40 | 2.73x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 450 | $152.8K | $339.53 | 4.42x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.7K | $151.5K | $91.44 | 2.33x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 2.1K | $117.7K | $57.35 | 5.47x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 185 | $117.2K | $633.52 | 2.46x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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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