This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 58% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2021
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 | $146.37 | $96.21 | 1.52x | $50.16 | $490.8K | 7.4K | 6.4K |
| 2015 | $148.49 | $94.28 | 1.57x | $54.21 | $488.3K | 7.7K | 6.6K |
| 2016 | $147.60 | $90.93 | 1.62x | $56.67 | $538.7K | 9.0K | 7.6K |
| 2017 | $144.66 | $86.38 | 1.67x | $58.28 | $502.6K | 8.9K | 7.4K |
| 2018 | $146.98 | $89.38 | 1.64x | $57.60 | $545.6K | 9.5K | 8.0K |
| 2019 | $141.78 | $90.66 | 1.56x | $51.12 | $647.9K | 10.4K | 8.5K |
| 2020 | $141.49 | $86.48 | 1.64x | $55.01 | $524.0K | 8.6K | 7.2K |
| 2021 | $159.07 | $107.92 | 1.47x | $51.15 | $798.0K | 10.7K | 8.8K |
| 2022 | $158.98 | $104.43 | 1.52x | $54.55 | $788.3K | 11.3K | 9.2K |
| 2023 | $155.95 | $101.43 | 1.54x | $54.52 | $777.8K | 11.5K | 9.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.5K | $1.2M | $66.71 | 1.44x |
| 11102 | Tangential biopsy of single skin lesion | 11.0K | $900.2K | $81.51 | 1.56x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.9K | $638.5K | $80.35 | 1.58x |
| 11103 | Tangential biopsy of additional skin lesion | 7.7K | $382.2K | $49.42 | 1.31x |
| 17000 | Destruction of skin growth | 10.6K | $352.7K | $33.34 | 2.48x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.0K | $352.6K | $88.24 | 1.50x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.9K | $258.5K | $132.64 | 1.64x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 1.3K | $228.3K | $176.95 | 1.43x |
| 17110 | Destruction of up to 14 skin growths | 2.3K | $209.9K | $93.30 | 1.50x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 5.6K | $162.8K | $29.15 | 1.39x |
| 67810 | Biopsy of eyelid | 878 | $140.1K | $159.51 | 1.40x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 823 | $135.0K | $164.03 | 1.45x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 1.2K | $133.6K | $112.94 | 1.37x |
| 10040 | Acne surgery | 1.4K | $128.1K | $89.88 | 1.52x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $121.3K | $36.95 | 1.42x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 736 | $108.6K | $147.60 | 1.56x |
| 69100 | Biopsy of ear | 1.4K | $72.1K | $50.96 | 2.43x |
| 40490 | Biopsy of lip | 621 | $67.5K | $108.72 | 1.45x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 937 | $65.6K | $70.00 | 2.10x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 507 | $60.9K | $120.08 | 1.46x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. This is lower 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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