This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 994% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 288% in 2020
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 | $110.95 | $52.54 | 2.11x | $58.41 | $134.1K | 2.9K | 2.4K |
| 2015 | $161.80 | $54.11 | 2.99x | $107.69 | $168.0K | 3.6K | 3.0K |
| 2016 | $163.93 | $55.54 | 2.95x | $108.39 | $196.8K | 4.2K | 3.5K |
| 2017 | $190.39 | $65.09 | 2.93x | $125.30 | $225.2K | 4.7K | 3.9K |
| 2018 | $180.52 | $60.98 | 2.96x | $119.54 | $204.0K | 4.0K | 3.3K |
| 2019 | $192.92 | $70.52 | 2.74x | $122.40 | $231.7K | 4.3K | 3.6K |
| 2020 | $219.25 | $87.80 | 2.50x | $131.45 | $897.8K | 10.6K | 4.7K |
| 2021 | $254.59 | $93.94 | 2.71x | $160.65 | $1.2M | 11.5K | 4.0K |
| 2022 | $255.42 | $92.70 | 2.76x | $162.72 | $1.4M | 13.7K | 4.7K |
| 2023 | $229.64 | $85.71 | 2.68x | $143.93 | $1.5M | 16.8K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 8.9K | $1.9M | $212.60 | 2.43x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 9.2K | $1.1M | $123.05 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.1K | $568.2K | $56.40 | 2.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.3K | $401.1K | $74.97 | 2.79x |
| 17110 | Destruction of up to 14 skin growths | 4.9K | $372.2K | $75.67 | 2.74x |
| 77401 | Radiation treatment delivery, superficial | 8.5K | $252.3K | $29.52 | 2.45x |
| 17000 | Destruction of skin growth | 6.9K | $251.7K | $36.30 | 3.69x |
| 77427 | Radiation treatment management, 5 treatments | 1.6K | $250.1K | $151.95 | 2.42x |
| 11102 | Tangential biopsy of single skin lesion | 1.9K | $117.2K | $62.91 | 2.90x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.6K | $115.8K | $72.67 | 2.90x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.4K | $87.6K | $62.15 | 3.01x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.5K | $71.8K | $47.63 | 2.87x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 552 | $62.5K | $113.24 | 2.95x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 562 | $53.4K | $94.97 | 2.79x |
| 77336 | Radiation therapy consultation per week | 787 | $49.8K | $63.28 | 2.46x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.4K | $46.0K | $32.36 | 2.94x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 365 | $31.1K | $85.31 | 2.76x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 234 | $30.6K | $130.73 | 2.84x |
| 77334 | Radiation treatment devices, design and construction, complex | 292 | $29.0K | $99.39 | 2.39x |
| 77300 | Calculation of radiation therapy dose | 478 | $24.8K | $51.78 | 2.41x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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