This provider averages 59 services per working day
Based on 146.5K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $11.9M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 204% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% in 2015
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 | $289.10 | $104.82 | 2.76x | $184.28 | $490.8K | 7.1K | 5.1K |
| 2015 | $285.87 | $110.03 | 2.60x | $175.84 | $764.9K | 10.6K | 7.7K |
| 2016 | $284.46 | $105.77 | 2.69x | $178.69 | $915.3K | 13.3K | 9.0K |
| 2017 | $284.73 | $104.86 | 2.72x | $179.87 | $930.8K | 13.9K | 9.4K |
| 2018 | $290.65 | $108.01 | 2.69x | $182.64 | $1.2M | 15.6K | 10.3K |
| 2019 | $310.40 | $120.80 | 2.57x | $189.60 | $1.8M | 17.6K | 11.0K |
| 2020 | $309.74 | $121.05 | 2.56x | $188.69 | $1.6M | 16.8K | 10.6K |
| 2021 | $306.62 | $121.76 | 2.52x | $184.86 | $1.4M | 16.3K | 11.5K |
| 2022 | $303.41 | $112.91 | 2.69x | $190.50 | $1.3M | 16.9K | 11.4K |
| 2023 | $291.55 | $111.76 | 2.61x | $179.79 | $1.5M | 18.3K | 11.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 22.4K | $2.7M | $122.64 | 2.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 29.5K | $1.6M | $53.88 | 2.71x |
| 17110 | Destruction of up to 14 skin growths | 14.0K | $1.2M | $89.01 | 2.64x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 3.5K | $1.1M | $297.94 | 2.65x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.6K | $751.1K | $87.20 | 2.48x |
| 17000 | Destruction of skin growth | 15.1K | $573.7K | $38.03 | 4.47x |
| 17111 | Destruction of 15 or more skin growths | 3.5K | $376.8K | $107.89 | 2.57x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 1.6K | $295.1K | $178.84 | 2.24x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.1K | $291.1K | $71.13 | 3.05x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 1.9K | $261.0K | $135.01 | 2.77x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.0K | $232.9K | $223.48 | 2.61x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 2.9K | $231.9K | $80.93 | 2.41x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 2.2K | $222.8K | $103.09 | 2.25x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.9K | $202.7K | $107.96 | 2.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.8K | $188.9K | $39.07 | 2.28x |
| 96921 | Laser treatment (250 to 500 sq centimeters) for inflammatory skin disease | 1.1K | $165.3K | $146.76 | 2.59x |
| 11303 | Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs | 1.1K | $129.6K | $118.16 | 2.31x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.5K | $115.3K | $79.13 | 2.81x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 627 | $111.8K | $178.26 | 2.89x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 416 | $105.3K | $253.16 | 2.55x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | โ Clear |
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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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