This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 243% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 205% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2017 | $487.78 | $219.38 | 2.22x | $268.40 | $385.3K | 1.9K | 1.8K |
| 2018 | $479.88 | $242.35 | 1.98x | $237.53 | $1.2M | 5.1K | 4.6K |
| 2019 | $499.85 | $241.96 | 2.07x | $257.89 | $1.3M | 4.8K | 4.3K |
| 2020 | $505.01 | $239.62 | 2.11x | $265.39 | $1.3M | 4.6K | 4.1K |
| 2021 | $506.06 | $221.81 | 2.28x | $284.25 | $1.4M | 5.1K | 4.5K |
| 2022 | $534.58 | $228.91 | 2.34x | $305.67 | $1.4M | 5.3K | 4.6K |
| 2023 | $535.72 | $226.32 | 2.37x | $309.40 | $1.3M | 5.0K | 4.5K |
| 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) | 6.6K | $3.0M | $457.12 | 2.16x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.5K | $1.1M | $461.69 | 2.09x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.4K | $781.9K | $322.15 | 1.90x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.5K | $582.7K | $167.64 | 2.48x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 453 | $268.5K | $592.80 | 1.84x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 294 | $232.7K | $791.37 | 1.68x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 255 | $193.8K | $759.85 | 1.91x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.2K | $149.6K | $129.37 | 3.27x |
| 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 | 199 | $143.4K | $720.53 | 1.86x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 451 | $139.5K | $309.34 | 1.96x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 1.1K | $139.4K | $132.55 | 3.22x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 689 | $135.4K | $196.44 | 3.58x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $119.3K | $59.36 | 1.93x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $104.3K | $97.89 | 1.85x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 104 | $90.7K | $871.72 | 1.79x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 401 | $83.5K | $208.26 | 3.50x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 137 | $80.9K | $590.64 | 1.68x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 404 | $79.0K | $195.48 | 2.91x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 86 | $60.6K | $704.10 | 2.12x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 531 | $60.5K | $114.00 | 3.34x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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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