This provider averages 103 services per working day
Based on 257.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 103 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 355% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 97% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $311.53 | $73.41 | 4.24x | $238.12 | $737.4K | 10.0K | 35 |
| 2015 | $430.53 | $126.92 | 3.39x | $303.61 | $1.5M | 11.5K | 35 |
| 2016 | $545.39 | $90.27 | 6.04x | $455.12 | $1.4M | 15.2K | 35 |
| 2017 | $445.48 | $86.43 | 5.15x | $359.05 | $1.5M | 17.7K | 36 |
| 2018 | $383.52 | $98.15 | 3.91x | $285.37 | $2.4M | 24.3K | 33 |
| 2019 | $362.18 | $105.96 | 3.42x | $256.22 | $3.0M | 28.7K | 40 |
| 2020 | $366.38 | $109.75 | 3.34x | $256.63 | $3.5M | 31.5K | 33 |
| 2021 | $303.91 | $98.48 | 3.09x | $205.43 | $4.1M | 41.6K | 37 |
| 2022 | $318.63 | $101.49 | 3.14x | $217.14 | $4.2M | 41.5K | 34 |
| 2023 | $313.71 | $93.38 | 3.36x | $220.33 | $3.4M | 35.9K | 37 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J3245 | Injection, tildrakizumab, 1 mg | 61.7K | $6.7M | $108.67 | 1.61x |
| J3357 | Ustekinumab, for subcutaneous injection, 1 mg | 30.4K | $4.5M | $146.80 | 1.86x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 12.0K | $2.9M | $238.92 | 3.79x |
| 0394T | High dose rate electronic brachytherapy, external | 11.9K | $2.4M | $198.24 | 10.95x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18.1K | $1.0M | $58.08 | 4.18x |
| Q4197 | Puraply xt, per square centimeter | 4.4K | $924.6K | $211.92 | 1.39x |
| 0182T | High dose rate electronic brachytherapy | 978 | $836.1K | $854.93 | 2.54x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14.4K | $574.6K | $39.95 | 4.14x |
| 17110 | Destruction of skin growth, 1-14 growths | 7.0K | $556.2K | $79.16 | 4.62x |
| 11102 | Biopsy of related skin growth, first growth | 7.8K | $546.8K | $69.88 | 4.78x |
| 17000 | Destruction of precancer skin growth, 1 growth | 13.9K | $518.5K | $37.38 | 5.84x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.8K | $517.0K | $66.02 | 5.09x |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 625 | $408.9K | $654.20 | 3.80x |
| 14020 | Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less | 550 | $331.1K | $601.95 | 3.80x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 4.4K | $230.6K | $52.56 | 4.56x |
| 11106 | Incision biopsy, first skin growth | 1.9K | $225.8K | $121.08 | 4.21x |
| 11103 | Biopsy of related skin growth, each additional growth | 4.9K | $219.1K | $44.83 | 3.81x |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 32.4K | $175.4K | $5.41 | 3.82x |
| 11310 | Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth | 1.7K | $139.3K | $82.71 | 4.49x |
| 12031 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | 598 | $118.6K | $198.28 | 4.07x |
This provider submits charges 3.61 times higher than what Medicare actually pays.
A markup ratio of 3.61x means for every $100 Medicare pays, this provider initially charges $361. 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.
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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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