This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $212.19 | $140.60 | 1.51x | $71.59 | $997.8K | 10.3K | 5.1K |
| 2015 | $241.39 | $164.51 | 1.47x | $76.88 | $904.4K | 9.0K | 5.0K |
| 2016 | $242.13 | $157.62 | 1.54x | $84.51 | $970.9K | 10.0K | 5.4K |
| 2017 | $257.75 | $157.92 | 1.63x | $99.83 | $949.0K | 9.9K | 5.2K |
| 2018 | $249.02 | $147.64 | 1.69x | $101.38 | $989.2K | 10.6K | 5.6K |
| 2019 | $240.88 | $151.46 | 1.59x | $89.42 | $1.4M | 14.4K | 7.7K |
| 2020 | $228.56 | $152.46 | 1.50x | $76.10 | $1.1M | 11.3K | 6.1K |
| 2021 | $223.58 | $163.84 | 1.36x | $59.74 | $1.1M | 10.3K | 5.7K |
| 2022 | $224.71 | $153.41 | 1.46x | $71.30 | $1.2M | 12.3K | 6.4K |
| 2023 | $210.56 | $152.91 | 1.38x | $57.65 | $1.2M | 11.5K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 15.7K | $2.1M | $130.95 | 1.35x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 21.0K | $1.3M | $63.42 | 1.41x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.8K | $1.1M | $577.08 | 1.33x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 13.2K | $808.1K | $61.34 | 1.37x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.8K | $616.1K | $351.06 | 1.32x |
| 11100 | Biopsy of single growth of skin and/or tissue | 6.2K | $501.2K | $80.69 | 1.49x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 683 | $378.4K | $554.04 | 1.30x |
| 17110 | Destruction of up to 14 skin growths | 3.5K | $316.9K | $90.07 | 1.44x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.0K | $259.7K | $257.12 | 1.81x |
| 11104 | Punch biopsy of single skin lesion | 2.3K | $258.7K | $111.28 | 1.33x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 964 | $254.3K | $263.79 | 1.62x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 659 | $247.7K | $375.81 | 1.34x |
| 17000 | Destruction of skin growth | 4.9K | $240.9K | $49.03 | 1.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.8K | $237.1K | $86.01 | 1.42x |
| 11102 | Tangential biopsy of single skin lesion | 2.9K | $226.7K | $78.46 | 1.50x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 577 | $198.8K | $344.57 | 1.29x |
| 11103 | Tangential biopsy of additional skin lesion | 3.7K | $173.6K | $47.20 | 1.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.3K | $173.5K | $75.19 | 1.62x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 657 | $144.6K | $220.16 | 1.33x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 4.9K | $134.4K | $27.63 | 1.32x |
This provider submits charges 1.42 times higher than what Medicare actually pays.
A markup ratio of 1.42x means for every $100 Medicare pays, this provider initially charges $142. This is lower 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 | ✓ 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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