This provider's $6.7M in total Medicare payments ranks in the 98th 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 | $182.34 | $135.87 | 1.34x | $46.47 | $503.4K | 8.1K | 5.6K |
| 2015 | $140.24 | $101.75 | 1.38x | $38.49 | $427.8K | 8.3K | 5.8K |
| 2016 | $133.07 | $99.05 | 1.34x | $34.02 | $543.2K | 10.4K | 6.8K |
| 2017 | $142.13 | $106.71 | 1.33x | $35.42 | $708.0K | 12.4K | 8.0K |
| 2018 | $141.96 | $102.97 | 1.38x | $38.99 | $723.3K | 12.0K | 7.6K |
| 2019 | $156.56 | $116.66 | 1.34x | $39.90 | $827.6K | 13.6K | 8.1K |
| 2020 | $179.08 | $137.24 | 1.30x | $41.84 | $756.5K | 11.4K | 7.0K |
| 2021 | $158.63 | $120.21 | 1.32x | $38.42 | $687.8K | 10.9K | 6.5K |
| 2022 | $178.66 | $120.27 | 1.49x | $58.39 | $787.9K | 11.4K | 6.7K |
| 2023 | $181.32 | $117.25 | 1.55x | $64.07 | $747.8K | 11.1K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 9.1K | $1.0M | $113.21 | 1.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.2K | $874.1K | $50.69 | 1.49x |
| 17110 | Destruction of up to 14 skin growths | 11.6K | $708.0K | $60.97 | 1.43x |
| 17000 | Destruction of skin growth | 18.5K | $486.9K | $26.28 | 1.68x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 737 | $280.6K | $380.74 | 1.28x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 2.8K | $257.2K | $91.87 | 1.39x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 2.2K | $241.5K | $111.66 | 1.34x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 2.4K | $226.8K | $94.77 | 1.35x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 1.6K | $205.7K | $127.86 | 1.34x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 1.4K | $203.8K | $147.05 | 1.32x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 2.2K | $180.7K | $83.11 | 1.49x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.3K | $157.2K | $119.24 | 1.36x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.7K | $146.2K | $55.05 | 1.37x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 409 | $140.5K | $343.54 | 1.28x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 1.5K | $105.9K | $72.61 | 1.43x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $103.9K | $68.28 | 1.60x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 769 | $100.1K | $130.18 | 1.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.9K | $93.3K | $31.73 | 1.41x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.3K | $92.9K | $73.63 | 1.43x |
| 10060 | Drainage of abscess | 1.1K | $86.1K | $78.56 | 1.40x |
This provider submits charges 1.42 times higher than what Medicare actually pays.
A markup ratio of 1.42x means for every $100 Medicare pays, this provider initially charges $142. This is lower 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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