This provider's $7.0M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 1223% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 475% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $390.91 | $105.08 | 3.72x | $285.83 | $80.0K | 1.0K | 921 |
| 2016 | $432.71 | $159.44 | 2.71x | $273.27 | $460.2K | 5.1K | 4.1K |
| 2017 | $477.75 | $168.23 | 2.84x | $309.52 | $699.6K | 6.9K | 5.7K |
| 2018 | $492.20 | $168.17 | 2.93x | $324.03 | $792.5K | 7.4K | 6.2K |
| 2019 | $498.39 | $176.67 | 2.82x | $321.72 | $764.2K | 7.1K | 6.0K |
| 2020 | $459.90 | $153.53 | 3.00x | $306.37 | $857.4K | 8.2K | 6.8K |
| 2021 | $401.03 | $136.71 | 2.93x | $264.32 | $1.1M | 10.5K | 7.5K |
| 2022 | $550.46 | $136.06 | 4.05x | $414.40 | $1.2M | 10.9K | 7.7K |
| 2023 | $473.36 | $122.49 | 3.86x | $350.87 | $1.1M | 9.4K | 6.8K |
| 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) | 3.8K | $1.8M | $470.42 | 2.74x |
| 77290 | Management of radiation therapy, simulation, complex | 1.6K | $553.5K | $353.44 | 2.94x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.8K | $540.3K | $54.96 | 3.09x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $492.0K | $311.96 | 2.43x |
| 17110 | Destruction of up to 14 skin growths | 5.0K | $395.3K | $78.72 | 2.80x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.5K | $294.8K | $190.41 | 4.81x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.3K | $278.6K | $213.79 | 2.81x |
| 17004 | Destruction of 15 or more skin growths | 2.3K | $266.7K | $113.55 | 2.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.6K | $258.4K | $72.62 | 2.79x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.6K | $251.4K | $69.83 | 3.08x |
| 17000 | Destruction of skin growth | 7.2K | $250.5K | $34.60 | 3.73x |
| 11102 | Tangential biopsy of single skin lesion | 3.3K | $214.9K | $64.92 | 3.12x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 365 | $166.3K | $455.75 | 2.74x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.9K | $132.2K | $70.02 | 2.72x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 846 | $81.9K | $96.85 | 5.03x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 128 | $76.7K | $599.05 | 2.43x |
| 77401 | Radiation treatment delivery, superficial | 2.3K | $73.8K | $32.07 | 2.80x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 392 | $70.6K | $180.08 | 4.53x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.5K | $68.8K | $47.23 | 2.87x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 300 | $59.7K | $199.16 | 4.85x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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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