This provider's $4.2M in total Medicare payments ranks in the 97th 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 | $218.24 | $76.70 | 2.85x | $141.54 | $394.9K | 7.6K | 5.9K |
| 2015 | $222.45 | $68.97 | 3.23x | $153.48 | $251.6K | 4.2K | 3.4K |
| 2016 | $241.22 | $77.79 | 3.10x | $163.43 | $308.7K | 5.1K | 4.3K |
| 2017 | $141.52 | $75.85 | 1.87x | $65.67 | $389.7K | 7.6K | 6.0K |
| 2018 | $152.83 | $71.23 | 2.15x | $81.60 | $443.1K | 8.6K | 6.5K |
| 2019 | $162.67 | $80.90 | 2.01x | $81.77 | $545.9K | 9.3K | 6.9K |
| 2020 | $167.20 | $82.55 | 2.03x | $84.65 | $465.6K | 7.4K | 5.9K |
| 2021 | $170.27 | $83.59 | 2.04x | $86.68 | $496.6K | 7.2K | 5.7K |
| 2022 | $167.94 | $83.48 | 2.01x | $84.46 | $445.5K | 6.7K | 5.2K |
| 2023 | $169.79 | $86.17 | 1.97x | $83.62 | $470.9K | 7.2K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.7K | $748.3K | $51.04 | 2.11x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.6K | $569.4K | $216.00 | 1.59x |
| 17110 | Destruction of up to 14 skin growths | 6.5K | $476.6K | $73.75 | 2.04x |
| 17004 | Destruction of 15 or more skin growths | 3.6K | $386.3K | $107.95 | 2.03x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.2K | $385.6K | $74.48 | 1.96x |
| 17000 | Destruction of skin growth | 9.8K | $347.1K | $35.42 | 3.24x |
| 11102 | Tangential biopsy of single skin lesion | 3.3K | $207.9K | $63.22 | 2.53x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.7K | $171.7K | $63.40 | 2.87x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.5K | $146.2K | $96.52 | 2.80x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.4K | $136.4K | $31.23 | 2.49x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $111.7K | $63.77 | 2.53x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 986 | $109.2K | $110.73 | 2.78x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 274 | $56.7K | $206.83 | 1.55x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 467 | $48.4K | $103.73 | 1.73x |
| 17003 | Destruction of 2-14 skin growths | 7.9K | $35.3K | $4.47 | 2.84x |
| 11103 | Tangential biopsy of additional skin lesion | 875 | $34.1K | $38.99 | 1.54x |
| 11104 | Punch biopsy of single skin lesion | 302 | $26.2K | $86.66 | 1.97x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 558 | $25.4K | $45.53 | 2.88x |
| 17111 | Destruction of 15 or more skin growths | 262 | $22.9K | $87.40 | 2.10x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 106 | $21.8K | $205.23 | 1.70x |
This provider submits charges 2.23 times higher than what Medicare actually pays.
A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. 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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