This provider averages 64 services per working day
Based on 160.3K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $14.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 64 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 463% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $264.13 | $105.69 | 2.50x | $158.44 | $324.2K | 4.5K | 3.1K |
| 2015 | $250.30 | $119.95 | 2.09x | $130.35 | $473.2K | 7.2K | 5.8K |
| 2016 | $220.78 | $108.80 | 2.03x | $111.98 | $569.5K | 9.0K | 6.5K |
| 2017 | $202.44 | $98.96 | 2.05x | $103.48 | $898.5K | 12.7K | 6.5K |
| 2018 | $209.81 | $102.03 | 2.06x | $107.78 | $1.2M | 15.3K | 7.8K |
| 2019 | $222.63 | $107.60 | 2.07x | $115.03 | $1.2M | 15.0K | 7.8K |
| 2020 | $215.00 | $105.72 | 2.03x | $109.28 | $1.7M | 20.2K | 10.2K |
| 2021 | $282.84 | $137.82 | 2.05x | $145.02 | $3.2M | 31.4K | 16.1K |
| 2022 | $265.49 | $122.56 | 2.17x | $142.93 | $2.8M | 28.1K | 12.8K |
| 2023 | $246.12 | $111.64 | 2.20x | $134.48 | $1.8M | 16.8K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 19.3K | $4.2M | $218.04 | 1.83x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 19.9K | $2.0M | $101.91 | 1.81x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.4K | $993.8K | $54.07 | 2.14x |
| 17004 | Destruction of 15 or more skin growths | 5.5K | $637.3K | $115.98 | 2.02x |
| 77401 | Radiation treatment delivery, superficial | 18.6K | $515.0K | $27.62 | 1.80x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.9K | $482.5K | $81.64 | 2.12x |
| 77427 | Radiation treatment management, 5 treatments | 3.0K | $440.5K | $149.31 | 1.87x |
| 17000 | Destruction of skin growth | 10.4K | $397.2K | $38.34 | 2.56x |
| 11102 | Tangential biopsy of single skin lesion | 6.0K | $396.3K | $66.23 | 2.22x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.9K | $353.2K | $71.81 | 2.27x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.2K | $303.4K | $71.94 | 2.13x |
| 17110 | Destruction of up to 14 skin growths | 3.9K | $293.0K | $75.93 | 2.15x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 823 | $229.0K | $278.24 | 1.87x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.9K | $189.4K | $48.64 | 2.22x |
| 77336 | Radiation therapy consultation per week | 2.9K | $184.1K | $63.41 | 1.82x |
| Q4180 | Revita, per square centimeter | 863 | $182.7K | $211.74 | 1.36x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 295 | $116.8K | $395.97 | 1.94x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.1K | $104.4K | $95.10 | 2.60x |
| 11103 | Tangential biopsy of additional skin lesion | 2.3K | $95.0K | $41.62 | 1.82x |
| 11401 | Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs | 981 | $91.8K | $93.53 | 2.37x |
This provider submits charges 1.97 times higher than what Medicare actually pays.
A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. 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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