This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Undefined Physician type 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 | $321.64 | $120.54 | 2.67x | $201.10 | $462.7K | 5.1K | 4.2K |
| 2015 | $393.03 | $108.52 | 3.62x | $284.51 | $441.3K | 4.8K | 4.0K |
| 2016 | $540.32 | $114.91 | 4.70x | $425.41 | $486.8K | 5.5K | 4.5K |
| 2017 | $538.64 | $126.24 | 4.27x | $412.40 | $460.3K | 5.2K | 4.4K |
| 2018 | $583.88 | $132.36 | 4.41x | $451.52 | $458.9K | 5.2K | 4.5K |
| 2019 | $527.04 | $120.23 | 4.38x | $406.81 | $507.4K | 5.4K | 4.6K |
| 2020 | $575.15 | $123.23 | 4.67x | $451.92 | $526.7K | 5.1K | 4.5K |
| 2021 | $579.68 | $116.52 | 4.97x | $463.16 | $579.7K | 5.0K | 4.3K |
| 2022 | $615.80 | $114.25 | 5.39x | $501.55 | $530.4K | 4.4K | 3.9K |
| 2023 | $739.73 | $124.52 | 5.94x | $615.21 | $517.1K | 4.1K | 3.7K |
| 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) | 2.5K | $1.2M | $462.56 | 4.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $394.4K | $53.97 | 1.82x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.1K | $338.4K | $316.57 | 3.64x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $253.5K | $204.73 | 4.76x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 472 | $217.5K | $460.74 | 4.53x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.6K | $163.4K | $100.27 | 5.50x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 2.2K | $160.5K | $73.12 | 3.27x |
| 17000 | Destruction of skin growth | 4.7K | $145.0K | $30.97 | 4.59x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.2K | $139.6K | $120.75 | 4.59x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.9K | $137.6K | $70.88 | 3.94x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.1K | $130.7K | $115.29 | 7.23x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 697 | $126.5K | $181.49 | 4.48x |
| 11643 | Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips | 824 | $116.4K | $141.30 | 7.18x |
| 11310 | Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth | 1.7K | $107.9K | $64.90 | 4.38x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.0K | $106.9K | $53.41 | 2.78x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.1K | $90.3K | $79.19 | 3.26x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 132 | $90.1K | $682.59 | 2.96x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 563 | $89.5K | $158.89 | 7.08x |
| 11102 | Tangential biopsy of single skin lesion | 1.8K | $83.6K | $45.58 | 4.32x |
| 11623 | Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals | 701 | $82.9K | $118.32 | 7.49x |
This provider submits charges 4.39 times higher than what Medicare actually pays.
A markup ratio of 4.39x means for every $100 Medicare pays, this provider initially charges $439. 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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