This provider averages 145 services per working day
Based on 362.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $37.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 145 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 62% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% 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 | $385.50 | $103.80 | 3.71x | $281.70 | $2.5M | 24.4K | 11.8K |
| 2015 | $276.13 | $103.80 | 2.66x | $172.33 | $4.3M | 41.0K | 19.8K |
| 2016 | $350.52 | $103.80 | 3.38x | $246.72 | $3.2M | 30.9K | 14.9K |
| 2017 | $353.62 | $103.80 | 3.41x | $249.82 | $3.1M | 29.9K | 14.4K |
| 2018 | $351.45 | $103.80 | 3.39x | $247.65 | $4.4M | 42.0K | 20.3K |
| 2019 | $229.13 | $103.80 | 2.21x | $125.33 | $2.9M | 28.4K | 13.7K |
| 2020 | $340.58 | $103.80 | 3.28x | $236.78 | $5.0M | 48.1K | 23.2K |
| 2021 | $216.11 | $103.80 | 2.08x | $112.31 | $4.8M | 45.9K | 22.1K |
| 2022 | $224.43 | $103.80 | 2.16x | $120.63 | $3.4M | 32.4K | 15.6K |
| 2023 | $248.11 | $103.80 | 2.39x | $144.31 | $4.1M | 39.7K | 19.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17000 | Destruction of premalignant lesion, first | 82.2K | $8.4M | $102.18 | 2.25x |
| 99213 | Office/outpatient visit, low complexity | 38.3K | $3.8M | $98.90 | 2.01x |
| 17003 | Destruction of premalignant lesion, 2nd-14th | 37.4K | $3.7M | $98.81 | 3.25x |
| 99214 | Office/outpatient visit, moderate complexity | 22.7K | $3.3M | $144.18 | 2.08x |
| 17110 | Destruction of benign lesions, up to 14 | 19.5K | $3.0M | $152.02 | 2.85x |
| 11102 | Tangential biopsy of skin | 11.2K | $2.2M | $197.82 | 2.28x |
| 11104 | Punch biopsy of skin | 10.2K | $1.7M | $165.71 | 2.57x |
| 17004 | Destruction of premalignant lesions, 15+ | 17.6K | $1.6M | $93.53 | 1.63x |
| 11313 | Shaving of skin lesion, 0.6-1.0 cm | 20.2K | $1.5M | $72.43 | 2.29x |
| 88305 | Pathology examination of tissue | 8.4K | $986.0K | $116.77 | 3.68x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Dermatology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Neil Sandhu, MD | Orange City, FL | $36.2M | ✓ Clear |
| David Casper, M.D. | The Villages, FL | $35.4M | ✓ Clear |
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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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