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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Alpesh Desai
๐Ÿงด
Individual

Alpesh Desai

NPI: 1386696904
Houston, TX
10 years of data
Dermatology
$14.2M
Total Payments
82.1K
Beneficiaries
160.3K
Services
1.97x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$14.2M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $14.2M over 10 years
21.97x markup ratio
399th percentile in Dermatology by payments
464 services/day โ€” unusually high
5Payments surged 87% in 2021

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†’

๐Ÿ”Ž Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 87% in 2021

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$264.13$105.692.50x$158.44$324.2K4.5K3.1K
2015$250.30$119.952.09x$130.35$473.2K7.2K5.8K
2016$220.78$108.802.03x$111.98$569.5K9.0K6.5K
2017$202.44$98.962.05x$103.48$898.5K12.7K6.5K
2018$209.81$102.032.06x$107.78$1.2M15.3K7.8K
2019$222.63$107.602.07x$115.03$1.2M15.0K7.8K
2020$215.00$105.722.03x$109.28$1.7M20.2K10.2K
2021$282.84$137.822.05x$145.02$3.2M31.4K16.1K
2022$265.49$122.562.17x$142.93$2.8M28.1K12.8K
2023$246.12$111.642.20x$134.48$1.8M16.8K5.5K

Top Procedures (20)

77280Management of radiation therapy simulation, simple
$4.2M
19.3K services$218.04/svc1.83x markup
G6001Ultrasonic guidance for placement of radiation therapy fields
$2.0M
19.9K services$101.91/svc1.81x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$993.8K
18.4K services$54.07/svc2.14x markup
17004Destruction of 15 or more skin growths
$637.3K
5.5K services$115.98/svc2.02x markup
77401Radiation treatment delivery, superficial
$515.0K
18.6K services$27.62/svc1.80x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$482.5K
5.9K services$81.64/svc2.12x markup
77427Radiation treatment management, 5 treatments
$440.5K
3.0K services$149.31/svc1.87x markup
17000Destruction of skin growth
$397.2K
10.4K services$38.34/svc2.56x markup
11102Tangential biopsy of single skin lesion
$396.3K
6.0K services$66.23/svc2.22x markup
99203New patient office or other outpatient visit, typically 30 minutes
$353.2K
4.9K services$71.81/svc2.27x markup
11100Biopsy of single growth of skin and/or tissue
$303.4K
4.2K services$71.94/svc2.13x markup
17110Destruction of up to 14 skin growths
$293.0K
3.9K services$75.93/svc2.15x markup
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
$229.0K
823 services$278.24/svc1.87x markup
99202New patient office or other outpatient visit, typically 20 minutes
$189.4K
3.9K services$48.64/svc2.22x markup
77336Radiation therapy consultation per week
$184.1K
2.9K services$63.41/svc1.82x markup
Q4180Revita, per square centimeter
$182.7K
863 services$211.74/svc1.36x markup
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter
$116.8K
295 services$395.97/svc1.94x markup
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs
$104.4K
1.1K services$95.10/svc2.60x markup
11103Tangential biopsy of additional skin lesion
$95.0K
2.3K services$41.62/svc1.82x markup
11401Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs
$91.8K
981 services$93.53/svc2.37x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
77280Management of radiation therapy simulation, simple19.3K$4.2M$218.041.83x
G6001Ultrasonic guidance for placement of radiation therapy fields19.9K$2.0M$101.911.81x
99213Established patient office or other outpatient visit, typically 15 minutes18.4K$993.8K$54.072.14x
17004Destruction of 15 or more skin growths5.5K$637.3K$115.982.02x
77401Radiation treatment delivery, superficial18.6K$515.0K$27.621.80x
99214Established patient office or other outpatient, visit typically 25 minutes5.9K$482.5K$81.642.12x
77427Radiation treatment management, 5 treatments3.0K$440.5K$149.311.87x
17000Destruction of skin growth10.4K$397.2K$38.342.56x
11102Tangential biopsy of single skin lesion6.0K$396.3K$66.232.22x
99203New patient office or other outpatient visit, typically 30 minutes4.9K$353.2K$71.812.27x
11100Biopsy of single growth of skin and/or tissue4.2K$303.4K$71.942.13x
17110Destruction of up to 14 skin growths3.9K$293.0K$75.932.15x
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)823$229.0K$278.241.87x
99202New patient office or other outpatient visit, typically 20 minutes3.9K$189.4K$48.642.22x
77336Radiation therapy consultation per week2.9K$184.1K$63.411.82x
Q4180Revita, per square centimeter863$182.7K$211.741.36x
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter295$116.8K$395.971.94x
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs1.1K$104.4K$95.102.60x
11103Tangential biopsy of additional skin lesion2.3K$95.0K$41.621.82x
11401Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs981$91.8K$93.532.37x

Markup Analysis

Charge-to-Payment Ratio

1.97x

This provider submits charges 1.97 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. This is lower than the national average.

Location

Houston, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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