This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 4523% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1167% in 2015
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 | $195.82 | $104.03 | 1.88x | $91.79 | $31.4K | 344 | 329 |
| 2015 | $530.13 | $218.71 | 2.42x | $311.42 | $397.2K | 1.7K | 1.7K |
| 2016 | $692.40 | $293.67 | 2.36x | $398.73 | $528.2K | 1.9K | 1.8K |
| 2017 | $632.16 | $233.64 | 2.71x | $398.52 | $683.6K | 2.6K | 2.4K |
| 2018 | $699.92 | $225.01 | 3.11x | $474.91 | $623.9K | 2.5K | 2.3K |
| 2019 | $653.43 | $229.50 | 2.85x | $423.93 | $844.8K | 3.3K | 3.1K |
| 2020 | $558.71 | $231.32 | 2.42x | $327.39 | $798.0K | 3.5K | 3.0K |
| 2021 | $542.11 | $206.82 | 2.62x | $335.29 | $878.7K | 3.8K | 3.4K |
| 2022 | $540.66 | $162.49 | 3.33x | $378.17 | $1.2M | 5.2K | 4.6K |
| 2023 | $611.01 | $193.51 | 3.16x | $417.50 | $1.4M | 6.8K | 6.0K |
| 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) | 6.3K | $2.6M | $411.67 | 2.67x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.9K | $859.8K | $297.00 | 2.22x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 1.0K | $788.1K | $753.47 | 2.44x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.8K | $529.6K | $192.29 | 4.54x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.2K | $508.7K | $422.89 | 2.53x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.4K | $262.5K | $187.50 | 4.08x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 913 | $177.8K | $194.73 | 4.69x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 188 | $128.4K | $683.02 | 2.56x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 155 | $110.8K | $714.71 | 2.34x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 496 | $104.2K | $210.02 | 3.34x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $100.3K | $88.28 | 2.77x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 350 | $100.2K | $286.22 | 2.26x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 811 | $94.6K | $116.60 | 2.80x |
| 17110 | Destruction of up to 14 skin growths | 1.1K | $77.1K | $72.83 | 2.74x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 140 | $75.8K | $541.73 | 2.44x |
| 11102 | Tangential biopsy of single skin lesion | 1.4K | $75.7K | $52.45 | 3.78x |
| 15781 | Scraping of skin of face | 246 | $74.4K | $302.46 | 3.02x |
| 88331 | Pathology examination of tissue during surgery | 842 | $63.0K | $74.80 | 2.36x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 821 | $59.1K | $72.02 | 2.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.0K | $56.7K | $54.64 | 2.35x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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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