This provider averages 59 services per working day
Based on 146.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 112% in 2018
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 | $619.65 | $179.15 | 3.46x | $440.50 | $1.3M | 14.7K | 10.4K |
| 2015 | $325.57 | $80.34 | 4.05x | $245.23 | $560.5K | 8.1K | 6.1K |
| 2016 | $394.15 | $95.62 | 4.12x | $298.53 | $707.3K | 9.9K | 7.1K |
| 2017 | $388.57 | $94.74 | 4.10x | $293.83 | $755.4K | 9.7K | 6.2K |
| 2018 | $467.39 | $116.96 | 4.00x | $350.43 | $1.6M | 17.7K | 7.8K |
| 2019 | $500.24 | $123.31 | 4.06x | $376.93 | $2.1M | 21.0K | 8.2K |
| 2020 | $512.67 | $130.29 | 3.93x | $382.38 | $1.8M | 16.2K | 6.7K |
| 2021 | $508.74 | $128.88 | 3.95x | $379.86 | $2.1M | 17.5K | 7.2K |
| 2022 | $537.39 | $136.19 | 3.95x | $401.20 | $2.2M | 18.6K | 7.3K |
| 2023 | $465.33 | $113.98 | 4.08x | $351.35 | $1.8M | 13.4K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 15.9K | $4.3M | $268.10 | 3.78x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 19.2K | $2.4M | $123.28 | 3.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.3K | $1.4M | $95.94 | 4.05x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.0K | $812.6K | $67.87 | 3.88x |
| 17000 | Destruction of skin growth | 14.0K | $662.9K | $47.33 | 5.07x |
| 17110 | Destruction of up to 14 skin growths | 6.3K | $641.1K | $101.48 | 3.95x |
| 77427 | Radiation treatment management, 5 treatments | 2.8K | $504.4K | $177.98 | 3.76x |
| 77401 | Radiation treatment delivery, superficial | 15.3K | $501.8K | $32.77 | 3.80x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.7K | $489.6K | $85.23 | 4.04x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 2.4K | $357.0K | $147.17 | 3.71x |
| 11102 | Tangential biopsy of single skin lesion | 4.1K | $340.7K | $84.00 | 4.47x |
| 17004 | Destruction of 15 or more skin growths | 2.2K | $310.3K | $141.35 | 3.98x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.8K | $239.8K | $41.10 | 4.10x |
| 77336 | Radiation therapy consultation per week | 2.8K | $227.1K | $82.20 | 3.78x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $160.8K | $91.90 | 3.91x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 217 | $113.5K | $523.10 | 3.34x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.8K | $111.8K | $63.01 | 4.19x |
| 11103 | Tangential biopsy of additional skin lesion | 1.6K | $80.6K | $51.42 | 3.77x |
| 77285 | Management of radiation therapy, simulation, intermediate | 180 | $80.1K | $445.24 | 3.81x |
| 77334 | Radiation treatment devices, design and construction, complex | 649 | $79.1K | $121.96 | 3.78x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. 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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