This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 587% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 255% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2017 | $768.89 | $289.66 | 2.65x | $479.23 | $161.7K | 754 | 708 |
| 2018 | $702.79 | $281.74 | 2.49x | $421.05 | $573.5K | 2.4K | 2.1K |
| 2019 | $679.28 | $275.81 | 2.46x | $403.47 | $644.3K | 2.7K | 2.3K |
| 2020 | $665.33 | $314.15 | 2.12x | $351.18 | $703.3K | 2.5K | 2.2K |
| 2021 | $571.17 | $329.20 | 1.74x | $241.97 | $773.3K | 2.5K | 2.2K |
| 2022 | $578.15 | $305.30 | 1.89x | $272.85 | $775.2K | 2.5K | 2.2K |
| 2023 | $636.60 | $324.78 | 1.96x | $311.82 | $1.1M | 3.1K | 2.8K |
| 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) | 3.2K | $1.3M | $417.41 | 2.56x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.8K | $624.2K | $351.09 | 1.84x |
| 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 | 421 | $333.7K | $792.62 | 1.91x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 563 | $272.8K | $484.60 | 2.13x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 285 | $266.1K | $933.71 | 1.75x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $265.4K | $224.57 | 3.32x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.0K | $254.9K | $246.08 | 3.11x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 375 | $242.0K | $645.27 | 1.83x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 238 | $199.7K | $839.20 | 1.91x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 205 | $173.1K | $844.49 | 1.92x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 177 | $114.8K | $648.73 | 1.83x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 301 | $93.0K | $308.88 | 2.09x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 96 | $71.5K | $745.20 | 1.86x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 171 | $57.3K | $335.17 | 1.89x |
| 11102 | Tangential biopsy of single skin lesion | 708 | $51.0K | $72.00 | 2.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 572 | $45.8K | $80.14 | 2.76x |
| 17000 | Destruction of skin growth | 1.1K | $45.7K | $40.91 | 3.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 702 | $43.1K | $61.39 | 2.34x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 147 | $32.9K | $223.58 | 2.09x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 289 | $31.9K | $110.52 | 3.21x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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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