This provider's $9.1M 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 | $921.63 | $309.62 | 2.98x | $612.01 | $790.4K | 2.3K | 1.9K |
| 2015 | $787.22 | $262.65 | 3.00x | $524.57 | $768.3K | 2.5K | 2.1K |
| 2016 | $942.57 | $326.09 | 2.89x | $616.48 | $958.5K | 3.1K | 2.5K |
| 2017 | $871.90 | $298.85 | 2.92x | $573.05 | $897.0K | 2.8K | 2.1K |
| 2018 | $944.49 | $321.06 | 2.94x | $623.43 | $1.2M | 3.5K | 2.8K |
| 2019 | $941.22 | $328.79 | 2.86x | $612.43 | $942.0K | 2.6K | 2.1K |
| 2020 | $1.1K | $389.61 | 2.77x | $689.32 | $922.3K | 2.4K | 1.8K |
| 2021 | $1.0K | $395.05 | 2.56x | $616.51 | $952.4K | 2.4K | 1.8K |
| 2022 | $909.42 | $336.34 | 2.70x | $573.08 | $864.2K | 2.4K | 1.8K |
| 2023 | $970.92 | $353.27 | 2.75x | $617.65 | $871.7K | 2.4K | 1.8K |
| 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) | 6.1K | $2.1M | $344.83 | 3.76x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.8K | $1.5M | $310.77 | 2.48x |
| 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 | 1.7K | $1.3M | $726.23 | 2.51x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.2K | $981.0K | $441.30 | 2.75x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 725 | $564.9K | $779.23 | 2.54x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 756 | $510.7K | $675.56 | 2.47x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.5K | $449.0K | $297.56 | 2.48x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 503 | $390.6K | $776.50 | 2.55x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.0K | $352.6K | $177.52 | 4.76x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.4K | $268.2K | $190.11 | 4.98x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 331 | $193.8K | $585.43 | 2.54x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 184 | $110.1K | $598.59 | 2.55x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 87 | $74.2K | $853.42 | 2.44x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 357 | $66.5K | $186.17 | 4.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $62.5K | $51.88 | 2.82x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 761 | $62.1K | $81.55 | 2.72x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 126 | $24.6K | $195.42 | 5.16x |
| 13122 | Repair of wound of scalp, arms, and/or legs | 215 | $22.1K | $102.63 | 2.53x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 29 | $17.8K | $614.55 | 2.53x |
| Q4159 | Affinity, per square centimeter | 58 | $17.6K | $303.22 | 2.78x |
This provider submits charges 3 times higher than what Medicare actually pays.
A markup ratio of 3x means for every $100 Medicare pays, this provider initially charges $300. 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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