This provider's $9.7M 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 | $472.88 | $180.06 | 2.63x | $292.82 | $784.3K | 4.7K | 3.8K |
| 2015 | $521.53 | $191.10 | 2.73x | $330.43 | $911.6K | 5.0K | 4.0K |
| 2016 | $431.53 | $150.76 | 2.86x | $280.77 | $1.0M | 5.3K | 4.3K |
| 2017 | $504.15 | $171.37 | 2.94x | $332.78 | $1.0M | 4.5K | 3.7K |
| 2018 | $588.72 | $213.69 | 2.76x | $375.03 | $1.1M | 3.5K | 2.8K |
| 2019 | $704.19 | $266.53 | 2.64x | $437.66 | $1.1M | 3.2K | 2.7K |
| 2020 | $803.43 | $281.48 | 2.85x | $521.95 | $1.0M | 2.9K | 2.4K |
| 2021 | $755.16 | $256.93 | 2.94x | $498.23 | $1.2M | 3.3K | 2.8K |
| 2022 | $873.52 | $340.47 | 2.57x | $533.05 | $895.7K | 2.6K | 2.2K |
| 2023 | $885.02 | $328.12 | 2.70x | $556.90 | $736.2K | 2.3K | 1.9K |
| 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) | 8.7K | $3.8M | $440.60 | 2.67x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 5.7K | $1.7M | $290.46 | 2.41x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.9K | $1.3M | $438.96 | 2.56x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 686 | $393.4K | $573.53 | 2.41x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.3K | $358.0K | $285.05 | 2.42x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.7K | $317.7K | $188.89 | 4.61x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 508 | $282.8K | $556.78 | 2.42x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.4K | $257.3K | $180.95 | 4.25x |
| 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 | 300 | $201.4K | $671.40 | 2.36x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 226 | $145.7K | $644.78 | 2.42x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $108.7K | $49.20 | 2.52x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 509 | $89.6K | $176.02 | 4.05x |
| 17000 | Destruction of skin growth | 2.7K | $82.3K | $30.85 | 3.81x |
| 17004 | Destruction of 15 or more skin growths | 653 | $66.9K | $102.40 | 2.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 994 | $65.1K | $65.54 | 2.77x |
| 11442 | Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth | 570 | $60.5K | $106.16 | 2.85x |
| Q4234 | Xcellerate, per square centimeter | 30 | $57.4K | $1.9K | 1.59x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 283 | $57.2K | $202.10 | 4.43x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 216 | $46.6K | $215.96 | 2.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 641 | $44.6K | $69.62 | 2.50x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. 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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