This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 958% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 322% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $326.85 | $164.56 | 1.99x | $162.29 | $125.2K | 736 | 646 |
| 2016 | $435.13 | $210.59 | 2.07x | $224.54 | $527.9K | 2.3K | 1.9K |
| 2017 | $475.38 | $207.30 | 2.29x | $268.08 | $830.7K | 3.6K | 2.7K |
| 2018 | $555.49 | $215.56 | 2.58x | $339.93 | $1.0M | 4.1K | 2.9K |
| 2019 | $574.85 | $233.85 | 2.46x | $341.00 | $1.2M | 4.6K | 3.3K |
| 2020 | $555.56 | $228.43 | 2.43x | $327.13 | $977.9K | 4.0K | 2.9K |
| 2021 | $584.35 | $239.33 | 2.44x | $345.02 | $1.0M | 4.2K | 3.0K |
| 2022 | $608.51 | $248.32 | 2.45x | $360.19 | $1.2M | 4.1K | 2.8K |
| 2023 | $619.67 | $241.47 | 2.57x | $378.20 | $1.3M | 4.4K | 3.0K |
| 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) | 5.0K | $2.7M | $538.74 | 2.28x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.0K | $1.4M | $358.00 | 1.78x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.7K | $932.3K | $547.45 | 2.24x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.6K | $552.3K | $216.18 | 4.13x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.2K | $493.7K | $220.22 | 3.41x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.3K | $433.9K | $343.82 | 1.85x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 183 | $159.1K | $869.44 | 1.97x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 539 | $135.4K | $251.24 | 2.85x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $134.1K | $63.86 | 2.19x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 202 | $133.9K | $662.82 | 2.19x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 155 | $124.3K | $801.91 | 2.06x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 546 | $122.1K | $223.53 | 4.49x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 96 | $85.2K | $887.00 | 2.06x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 995 | $83.0K | $83.39 | 2.33x |
| 17000 | Destruction of skin growth | 2.0K | $73.7K | $36.46 | 3.45x |
| 17110 | Destruction of up to 14 skin growths | 853 | $67.3K | $78.94 | 2.63x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 70 | $66.5K | $949.87 | 1.91x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 623 | $50.7K | $81.44 | 3.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 688 | $28.1K | $40.91 | 2.30x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 113 | $27.7K | $245.26 | 1.64x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. 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 | โ 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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