This provider's $8.7M in total Medicare payments ranks in the 99th 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 | $509.11 | $196.77 | 2.59x | $312.34 | $970.3K | 5.1K | 4.1K |
| 2015 | $449.68 | $170.01 | 2.65x | $279.67 | $1.0M | 5.1K | 4.2K |
| 2016 | $518.28 | $201.48 | 2.57x | $316.80 | $970.5K | 4.9K | 3.9K |
| 2017 | $486.01 | $187.71 | 2.59x | $298.30 | $943.6K | 4.8K | 3.8K |
| 2018 | $408.01 | $166.38 | 2.45x | $241.63 | $953.0K | 5.8K | 4.5K |
| 2019 | $425.60 | $173.66 | 2.45x | $251.94 | $877.4K | 5.4K | 4.2K |
| 2020 | $508.13 | $198.88 | 2.55x | $309.25 | $663.1K | 3.6K | 3.0K |
| 2021 | $453.45 | $180.14 | 2.52x | $273.31 | $787.9K | 4.5K | 3.6K |
| 2022 | $529.60 | $201.33 | 2.63x | $328.27 | $758.5K | 4.3K | 3.3K |
| 2023 | $527.40 | $197.61 | 2.67x | $329.79 | $740.1K | 4.2K | 3.3K |
| 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) | 5.3K | $1.9M | $366.05 | 2.91x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 2.5K | $1.8M | $731.90 | 2.28x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.3K | $1.4M | $319.23 | 1.98x |
| 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 | 707 | $448.1K | $633.77 | 2.22x |
| 17004 | Destruction of 15 or more skin growths | 3.4K | $391.0K | $116.41 | 2.07x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.0K | $374.6K | $362.99 | 2.68x |
| 17110 | Destruction of up to 14 skin growths | 3.5K | $287.4K | $81.82 | 2.05x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 393 | $253.3K | $644.51 | 2.35x |
| 14302 | Tissue transfer repair of wound (30.0 sq centimeters) | 1.3K | $234.5K | $186.56 | 2.13x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 343 | $225.1K | $656.27 | 2.30x |
| 17000 | Destruction of skin growth | 5.4K | $203.4K | $37.45 | 2.75x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 568 | $174.2K | $306.64 | 1.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $153.7K | $60.71 | 2.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.6K | $135.3K | $83.29 | 1.71x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.4K | $111.1K | $33.14 | 2.06x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 858 | $65.8K | $76.64 | 2.11x |
| 11100 | Biopsy of single growth of skin and/or tissue | 906 | $60.0K | $66.18 | 2.17x |
| 11102 | Tangential biopsy of single skin lesion | 850 | $55.8K | $65.61 | 2.34x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 340 | $45.7K | $134.44 | 6.10x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 325 | $40.7K | $125.14 | 5.23x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. 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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