This provider's $8.2M 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 | $332.72 | $150.93 | 2.20x | $181.79 | $958.7K | 10.2K | 5.3K |
| 2015 | $468.93 | $212.38 | 2.21x | $256.55 | $960.4K | 9.6K | 5.0K |
| 2016 | $475.99 | $211.67 | 2.25x | $264.32 | $918.3K | 9.2K | 4.7K |
| 2017 | $424.01 | $185.56 | 2.29x | $238.45 | $878.8K | 8.7K | 4.4K |
| 2018 | $515.21 | $207.21 | 2.49x | $308.00 | $904.6K | 8.5K | 4.3K |
| 2019 | $388.75 | $170.06 | 2.29x | $218.69 | $685.0K | 6.6K | 3.4K |
| 2020 | $405.01 | $188.02 | 2.15x | $216.99 | $631.9K | 5.8K | 3.0K |
| 2021 | $424.46 | $209.02 | 2.03x | $215.44 | $781.4K | 6.5K | 3.4K |
| 2022 | $373.39 | $175.44 | 2.13x | $197.95 | $744.9K | 6.7K | 3.6K |
| 2023 | $371.80 | $174.16 | 2.13x | $197.64 | $713.2K | 6.8K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17110 | Destruction of up to 14 skin growths | 17.1K | $1.9M | $108.90 | 2.10x |
| 17004 | Destruction of 15 or more skin growths | 10.3K | $1.5M | $147.16 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.3K | $1.0M | $67.70 | 1.80x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 8.5K | $853.1K | $99.90 | 1.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.5K | $841.0K | $98.60 | 1.82x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 564 | $231.8K | $411.00 | 2.92x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 393 | $153.3K | $390.05 | 1.79x |
| 17000 | Destruction of skin growth | 3.7K | $126.7K | $34.14 | 4.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $123.4K | $89.02 | 2.73x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 910 | $121.4K | $133.42 | 2.25x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 319 | $102.0K | $319.68 | 2.44x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 369 | $98.5K | $267.04 | 1.68x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 391 | $96.7K | $247.30 | 1.74x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 181 | $96.3K | $532.25 | 2.25x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 201 | $70.5K | $350.83 | 2.88x |
| 11441 | Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth | 612 | $68.5K | $111.96 | 2.55x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 220 | $65.5K | $297.83 | 1.84x |
| 11100 | Biopsy of single growth of skin and/or tissue | 860 | $58.3K | $67.82 | 2.76x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 199 | $50.7K | $254.71 | 1.50x |
| 11401 | Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs | 507 | $49.4K | $97.48 | 2.65x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. This is higher 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ 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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