This provider's $4.8M 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 | $172.90 | $89.80 | 1.93x | $83.10 | $396.5K | 6.5K | 4.6K |
| 2015 | $182.21 | $92.48 | 1.97x | $89.73 | $377.9K | 6.3K | 4.5K |
| 2016 | $194.86 | $95.54 | 2.04x | $99.32 | $398.9K | 6.8K | 4.6K |
| 2017 | $194.20 | $84.37 | 2.30x | $109.83 | $416.4K | 6.9K | 4.7K |
| 2018 | $226.88 | $96.10 | 2.36x | $130.78 | $446.9K | 7.5K | 5.0K |
| 2019 | $233.30 | $101.44 | 2.30x | $131.86 | $517.6K | 8.1K | 5.3K |
| 2020 | $247.54 | $104.91 | 2.36x | $142.63 | $504.3K | 7.7K | 5.3K |
| 2021 | $252.97 | $110.41 | 2.29x | $142.56 | $594.3K | 8.0K | 5.4K |
| 2022 | $252.23 | $110.76 | 2.28x | $141.47 | $572.2K | 7.8K | 5.2K |
| 2023 | $236.76 | $101.36 | 2.34x | $135.40 | $574.9K | 8.0K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17110 | Destruction of up to 14 skin growths | 16.9K | $1.5M | $86.81 | 1.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.6K | $1.1M | $57.59 | 1.80x |
| 17004 | Destruction of 15 or more skin growths | 6.0K | $778.4K | $128.90 | 4.08x |
| 17000 | Destruction of skin growth | 11.2K | $334.8K | $29.84 | 3.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $202.6K | $88.10 | 1.74x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $133.3K | $78.50 | 2.12x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 884 | $93.4K | $105.67 | 1.72x |
| 11303 | Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs | 685 | $85.6K | $125.00 | 1.93x |
| 11102 | Tangential biopsy of single skin lesion | 1.1K | $54.4K | $47.48 | 4.37x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 365 | $54.3K | $148.69 | 1.95x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 187 | $45.9K | $245.27 | 1.32x |
| 17003 | Destruction of 2-14 skin growths | 8.4K | $43.1K | $5.17 | 5.52x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 364 | $40.7K | $111.86 | 1.78x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 296 | $38.4K | $129.62 | 2.15x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 354 | $31.7K | $89.62 | 1.71x |
| 11100 | Biopsy of single growth of skin and/or tissue | 567 | $31.6K | $55.80 | 2.40x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 324 | $25.9K | $79.88 | 2.29x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 158 | $25.4K | $160.96 | 2.86x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 184 | $22.4K | $122.00 | 2.61x |
| 11401 | Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs | 179 | $22.4K | $125.38 | 1.76x |
This provider submits charges 2.42 times higher than what Medicare actually pays.
A markup ratio of 2.42x means for every $100 Medicare pays, this provider initially charges $242. 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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