This provider averages 71 services per working day
Based on 178.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.0M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Their average markup ratio of 8x is significantly above the specialty median of 2.8x.
Averaging 71 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 266% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2021
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 | $471.71 | $101.51 | 4.65x | $370.20 | $846.7K | 8.3K | 35 |
| 2015 | $464.47 | $106.64 | 4.36x | $357.83 | $797.6K | 7.5K | 31 |
| 2016 | $495.37 | $114.51 | 4.33x | $380.86 | $951.4K | 8.3K | 35 |
| 2017 | $507.62 | $116.22 | 4.37x | $391.40 | $961.8K | 8.3K | 30 |
| 2018 | $407.22 | $87.87 | 4.63x | $319.35 | $980.8K | 11.2K | 36 |
| 2019 | $578.07 | $107.71 | 5.37x | $470.36 | $1.3M | 12.0K | 32 |
| 2020 | $680.77 | $104.94 | 6.49x | $575.83 | $1.7M | 16.5K | 37 |
| 2021 | $817.00 | $67.66 | 12.08x | $749.34 | $3.0M | 43.7K | 38 |
| 2022 | $846.55 | $96.48 | 8.77x | $750.07 | $3.4M | 35.3K | 33 |
| 2023 | $1.2K | $114.95 | 10.37x | $1.1K | $3.1M | 27.0K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4121 | Theraskin, per square centimeter | 51.3K | $1.8M | $35.31 | 25.49x |
| Q4196 | Puraply am, per square centimeter | 17.9K | $1.5M | $85.64 | 10.45x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 10.0K | $1.3M | $127.75 | 3.78x |
| 17111 | Destruction of skin growth, 15 or more growths | 9.9K | $918.5K | $93.00 | 4.60x |
| 96922 | Treatment of inflammatory skin disease using laser, more than 500.0 sq cm | 4.2K | $880.3K | $207.37 | 3.71x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1.5K | $849.2K | $564.98 | 3.67x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.5K | $706.3K | $93.63 | 3.56x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 14.7K | $618.2K | $42.08 | 6.34x |
| Q4186 | Epifix, per square centimeter | 5.0K | $595.3K | $119.96 | 12.50x |
| Q4159 | Affinity, per square centimeter | 1.4K | $576.3K | $416.74 | 2.16x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 9.1K | $521.0K | $57.04 | 3.98x |
| Q4137 | Amnioexcel, amnioexcel plus or biodexcel, per square centimeter | 6.3K | $499.9K | $79.43 | 11.33x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 876 | $466.9K | $533.02 | 3.56x |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | 713 | $463.5K | $650.14 | 4.57x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 1.2K | $411.5K | $338.09 | 3.69x |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 1.3K | $404.8K | $312.10 | 3.53x |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 1.1K | $399.5K | $354.77 | 3.57x |
| 11303 | Shaving of skin growth of body, arms, or legs, more than 2.0 cm | 2.9K | $322.2K | $110.83 | 3.76x |
| Q4180 | Revita, per square centimeter | 552 | $281.4K | $509.73 | 4.90x |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 1.6K | $238.9K | $147.72 | 30.46x |
This provider submits charges 8 times higher than what Medicare actually pays.
A markup ratio of 8x means for every $100 Medicare pays, this provider initially charges $800. 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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