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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. James Keane
๐Ÿงด
MDIndividual

James Keane, M.D.

NPI: 1427221704
Little Rock, AR
10 years of data
Dermatology
$37.7M
Total Payments
320
Beneficiaries
118.4K
Services
3.53x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$37.7M
Specialty median$212.7K
Rank #1 of 5 in specialty

๐Ÿ“‹ Key Findings

1Billed $37.7M over 10 years
23.53x markup ratio (above median)
399th percentile in Dermatology by payments
4Payments surged 62% in 2015
513 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $37.7M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.

Medicare payments to this provider grew 193% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 62% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.1K$289.883.65x$767.16$1.7M5.7K29
2015$1.1K$318.803.56x$814.63$2.7M8.4K25
2016$1.1K$320.503.55x$815.97$3.1M9.7K27
2017$1.2K$348.263.40x$834.82$3.8M10.8K34
2018$1.2K$324.403.58x$837.03$3.7M11.4K35
2019$1.2K$331.493.50x$827.21$4.0M12.1K32
2020$1.1K$319.753.59x$828.64$3.7M11.5K32
2021$1.1K$315.783.52x$794.41$5.0M15.7K36
2022$1.1K$308.083.50x$770.92$5.3M17.1K35
2023$1.1K$306.003.53x$772.87$4.9M15.9K35

Top Procedures (20)

17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocksโš  4.1x markup
$12.2M
33.8K services$360.07/svc4.10x markup
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
$9.8M
33.5K services$291.96/svc2.77x markup
15260Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
$5.4M
7.3K services$739.10/svc2.92x markup
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cmโš  5.5x markup
$1.9M
10.6K services$178.45/svc5.55x markup
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocksโš  3.6x markup
$1.5M
4.2K services$369.25/svc3.57x markup
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or lessโš  3.1x markup
$1.2M
2.2K services$524.44/svc3.07x markup
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cmโš  4.8x markup
$800.5K
4.6K services$174.54/svc4.85x markup
15240Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or lessโš  3.0x markup
$742.7K
1.1K services$646.41/svc3.05x markup
17314Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks
$646.4K
2.3K services$280.58/svc2.67x markup
14041Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
$579.3K
889 services$651.60/svc2.99x markup
14061Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cmโš  3.1x markup
$472.7K
658 services$718.43/svc3.06x markup
15220Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
$463.6K
857 services$540.95/svc2.97x markup
14301Repair of wound by transferring skin, 30.1-60.0 sq cmโš  3.3x markup
$262.9K
327 services$803.86/svc3.33x markup
13101Complicated repair of wound of trunk, 2.6-7.5 cmโš  4.2x markup
$189.8K
1.0K services$187.73/svc4.17x markup
14040Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
$176.8K
342 services$516.98/svc3.00x markup
13152Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cmโš  5.3x markup
$167.2K
888 services$188.25/svc5.27x markup
88331Pathology examination of specimen during surgery, first tissue blockโš  3.6x markup
$144.4K
2.0K services$73.74/svc3.62x markup
13151Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cmโš  5.5x markup
$141.3K
888 services$159.10/svc5.48x markup
13133Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less
$136.0K
1.0K services$131.89/svc2.73x markup
13131Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cmโš  5.3x markup
$118.8K
813 services$146.09/svc5.34x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks33.8K$12.2M$360.074.10x
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks33.5K$9.8M$291.962.77x
15260Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less7.3K$5.4M$739.102.92x
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm10.6K$1.9M$178.455.55x
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks4.2K$1.5M$369.253.57x
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less2.2K$1.2M$524.443.07x
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm4.6K$800.5K$174.544.85x
15240Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less1.1K$742.7K$646.413.05x
17314Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks2.3K$646.4K$280.582.67x
14041Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm889$579.3K$651.602.99x
14061Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm658$472.7K$718.433.06x
15220Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less857$463.6K$540.952.97x
14301Repair of wound by transferring skin, 30.1-60.0 sq cm327$262.9K$803.863.33x
13101Complicated repair of wound of trunk, 2.6-7.5 cm1.0K$189.8K$187.734.17x
14040Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less342$176.8K$516.983.00x
13152Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm888$167.2K$188.255.27x
88331Pathology examination of specimen during surgery, first tissue block2.0K$144.4K$73.743.62x
13151Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm888$141.3K$159.105.48x
13133Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less1.0K$136.0K$131.892.73x
13131Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm813$118.8K$146.095.34x

Markup Analysis

Charge-to-Payment Ratio

3.53x

This provider submits charges 3.53 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.53x means for every $100 Medicare pays, this provider initially charges $353. This is higher than the national average.

Location

Little Rock, AR

Provider Verification

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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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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