This provider's $9.2M 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.
Notable: Payments increased 75% in 2020
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 | $275.14 | $130.81 | 2.10x | $144.33 | $1.4M | 4.3K | 2.8K |
| 2015 | $286.41 | $134.51 | 2.13x | $151.90 | $664.9K | 3.9K | 2.7K |
| 2016 | $253.02 | $118.06 | 2.14x | $134.96 | $484.5K | 4.4K | 2.8K |
| 2017 | $263.64 | $125.94 | 2.09x | $137.70 | $599.2K | 5.1K | 2.9K |
| 2018 | $329.99 | $149.08 | 2.21x | $180.91 | $579.5K | 4.7K | 3.0K |
| 2019 | $412.26 | $183.60 | 2.25x | $228.66 | $647.8K | 5.2K | 3.6K |
| 2020 | $459.85 | $218.37 | 2.11x | $241.48 | $1.1M | 6.9K | 4.0K |
| 2021 | $497.54 | $248.46 | 2.00x | $249.08 | $1.2M | 7.1K | 4.1K |
| 2022 | $471.26 | $224.94 | 2.10x | $246.32 | $1.2M | 7.2K | 4.2K |
| 2023 | $449.29 | $208.98 | 2.15x | $240.31 | $1.2M | 7.5K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0182T | High dose rate electronic brachytherapy | 1.3K | $1.5M | $1.2K | 1.87x |
| 77600 | External hyperthermia treatment depth 4 cm or less | 2.6K | $1.1M | $414.02 | 1.30x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.9K | $907.5K | $476.12 | 2.17x |
| 77280 | Management of radiation therapy simulation, simple | 3.7K | $834.0K | $223.40 | 1.66x |
| 0394T | High dose rate electronic brachytherapy | 5.1K | $660.1K | $129.40 | 3.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.1K | $470.5K | $77.24 | 2.45x |
| 77290 | Management of radiation therapy, simulation, complex | 1.0K | $398.7K | $393.62 | 1.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.7K | $332.1K | $57.81 | 2.33x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.2K | $288.8K | $245.76 | 1.42x |
| 17004 | Destruction of 15 or more skin growths | 1.5K | $173.1K | $117.39 | 2.14x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 497 | $161.3K | $324.48 | 1.96x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 334 | $160.1K | $479.41 | 1.93x |
| 17000 | Destruction of skin growth | 3.9K | $153.7K | $39.83 | 3.77x |
| 17110 | Destruction of up to 14 skin growths | 1.8K | $149.3K | $81.12 | 2.16x |
| Q4231 | Corplex p, per cc | 138 | $143.7K | $1.0K | 1.40x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 583 | $140.8K | $241.45 | 2.63x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 629 | $132.4K | $210.50 | 3.94x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4.3K | $125.8K | $29.48 | 5.62x |
| 77285 | Management of radiation therapy, simulation, intermediate | 265 | $100.1K | $377.64 | 1.27x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $75.4K | $69.03 | 2.32x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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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