This provider's $11.3M 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 | $554.37 | $198.40 | 2.79x | $355.97 | $850.6K | 5.1K | 4.3K |
| 2015 | $513.09 | $195.08 | 2.63x | $318.01 | $988.9K | 5.8K | 4.9K |
| 2016 | $638.83 | $224.00 | 2.85x | $414.83 | $1.0M | 5.6K | 4.8K |
| 2017 | $646.89 | $205.78 | 3.14x | $441.11 | $983.8K | 5.1K | 4.4K |
| 2018 | $634.72 | $203.08 | 3.13x | $431.64 | $1.2M | 6.0K | 5.2K |
| 2019 | $687.16 | $216.77 | 3.17x | $470.39 | $1.2M | 6.0K | 5.1K |
| 2020 | $729.89 | $235.78 | 3.10x | $494.11 | $1.2M | 5.4K | 4.7K |
| 2021 | $664.36 | $231.58 | 2.87x | $432.78 | $1.4M | 6.0K | 5.1K |
| 2022 | $622.30 | $222.25 | 2.80x | $400.05 | $1.2M | 5.4K | 4.7K |
| 2023 | $742.96 | $250.97 | 2.96x | $491.99 | $1.2M | 5.1K | 4.4K |
| 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) | 10.7K | $3.8M | $351.91 | 3.34x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 5.3K | $1.6M | $294.72 | 2.37x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 2.4K | $1.3M | $557.37 | 3.32x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.7K | $941.3K | $539.44 | 2.93x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.0K | $704.9K | $354.39 | 3.04x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 7.1K | $525.3K | $73.99 | 2.31x |
| 88331 | Pathology examination of tissue during surgery | 4.5K | $335.8K | $74.17 | 2.40x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 384 | $286.3K | $745.54 | 2.18x |
| 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 | 364 | $245.0K | $673.14 | 2.83x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $228.3K | $75.34 | 2.28x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 478 | $226.7K | $474.28 | 3.08x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 647 | $183.3K | $283.31 | 2.26x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.3K | $108.3K | $46.32 | 3.34x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $96.8K | $48.95 | 2.22x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 532 | $93.2K | $175.18 | 5.48x |
| 88342 | Tissue or cell analysis by immunologic technique | 1.1K | $83.5K | $76.70 | 1.96x |
| 11102 | Tangential biopsy of single skin lesion | 1.8K | $75.1K | $41.81 | 4.07x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 116 | $74.6K | $642.75 | 2.31x |
| 88341 | Special stained specimen slides to examine tissue | 1.1K | $70.3K | $65.49 | 1.65x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 95 | $68.7K | $722.93 | 3.50x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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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