This provider's $6.0M in total Medicare payments ranks in the 95th percentile of Micrographic Dermatologic Surgery providers nationally.
Medicare payments to this provider grew 613% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 149% in 2020
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 | $637.78 | $245.52 | 2.60x | $392.26 | $194.2K | 596 | 529 |
| 2015 | $530.52 | $235.04 | 2.26x | $295.48 | $279.4K | 963 | 910 |
| 2016 | $493.14 | $215.86 | 2.28x | $277.28 | $230.3K | 767 | 713 |
| 2017 | $489.80 | $191.70 | 2.56x | $298.10 | $237.9K | 843 | 775 |
| 2018 | $519.59 | $210.41 | 2.47x | $309.18 | $229.1K | 749 | 713 |
| 2019 | $514.00 | $219.59 | 2.34x | $294.41 | $247.3K | 787 | 753 |
| 2020 | $493.04 | $220.06 | 2.24x | $272.98 | $616.3K | 1.9K | 1.7K |
| 2021 | $488.36 | $226.00 | 2.16x | $262.36 | $1.1M | 3.4K | 3.1K |
| 2022 | $575.41 | $222.52 | 2.59x | $352.89 | $1.4M | 4.3K | 4.1K |
| 2023 | $557.89 | $215.53 | 2.59x | $342.36 | $1.4M | 4.4K | 4.0K |
| 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) | 5.7K | $3.0M | $523.41 | 2.06x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.2K | $789.2K | $354.71 | 1.81x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.3K | $656.2K | $509.88 | 1.99x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.2K | $218.9K | $177.99 | 2.78x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 232 | $202.7K | $873.75 | 1.90x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 783 | $169.1K | $216.00 | 3.54x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 238 | $154.2K | $647.72 | 1.79x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 800 | $113.5K | $141.87 | 3.70x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 821 | $105.1K | $128.02 | 3.53x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 197 | $68.1K | $345.58 | 1.82x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 405 | $59.1K | $145.81 | 3.38x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 272 | $51.6K | $189.77 | 3.43x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 179 | $40.3K | $225.04 | 3.60x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 253 | $34.9K | $137.82 | 3.03x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 554 | $33.7K | $60.77 | 1.90x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 156 | $33.5K | $214.69 | 2.96x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 40 | $32.4K | $810.84 | 1.89x |
| 88331 | Pathology examination of tissue during surgery | 364 | $32.3K | $88.80 | 1.69x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 181 | $31.9K | $176.13 | 3.36x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 594 | $25.2K | $42.36 | 1.74x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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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