This provider's $11.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 83% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2017
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 | $399.71 | $172.46 | 2.32x | $227.25 | $656.5K | 7.0K | 5.0K |
| 2015 | $414.33 | $176.68 | 2.35x | $237.65 | $857.3K | 9.4K | 6.7K |
| 2016 | $378.78 | $171.93 | 2.20x | $206.85 | $863.1K | 10.8K | 7.6K |
| 2017 | $413.21 | $172.26 | 2.40x | $240.95 | $1.4M | 14.9K | 9.4K |
| 2018 | $413.88 | $186.98 | 2.21x | $226.90 | $1.6M | 13.6K | 8.7K |
| 2019 | $468.86 | $219.12 | 2.14x | $249.74 | $1.2M | 8.4K | 5.5K |
| 2020 | $484.45 | $218.08 | 2.22x | $266.37 | $1.1M | 7.0K | 4.4K |
| 2021 | $494.11 | $228.92 | 2.16x | $265.19 | $1.2M | 6.9K | 4.4K |
| 2022 | $520.67 | $242.25 | 2.15x | $278.42 | $1.2M | 6.5K | 4.3K |
| 2023 | $483.66 | $225.78 | 2.14x | $257.88 | $1.2M | 6.9K | 4.5K |
| 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) | 4.7K | $2.2M | $461.00 | 2.28x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.5K | $810.4K | $324.27 | 1.94x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.0K | $694.5K | $231.65 | 2.04x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 12.5K | $575.9K | $45.99 | 2.08x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.7K | $562.5K | $211.96 | 3.56x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.8K | $561.3K | $305.20 | 1.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.9K | $435.3K | $73.60 | 2.27x |
| 77280 | Management of radiation therapy simulation, simple | 1.8K | $403.0K | $223.76 | 1.94x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.6K | $401.2K | $248.90 | 2.70x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 604 | $375.7K | $621.97 | 1.95x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 815 | $341.9K | $419.50 | 2.34x |
| 17000 | Destruction of skin growth | 8.9K | $338.9K | $38.29 | 2.77x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 1.4K | $289.5K | $208.86 | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.3K | $281.8K | $53.52 | 2.21x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.5K | $241.2K | $68.49 | 2.31x |
| 17004 | Destruction of 15 or more skin growths | 1.9K | $226.3K | $119.11 | 2.05x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 297 | $209.7K | $706.18 | 1.90x |
| 17110 | Destruction of up to 14 skin growths | 2.4K | $197.0K | $80.87 | 2.13x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 652 | $196.5K | $301.46 | 2.09x |
| 77290 | Management of radiation therapy, simulation, complex | 482 | $196.3K | $407.32 | 1.95x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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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