This provider's $3.3M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 57% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 176% 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 | $168.47 | $103.24 | 1.63x | $65.23 | $306.7K | 4.5K | 3.2K |
| 2015 | $241.45 | $110.29 | 2.19x | $131.16 | $287.5K | 4.2K | 3.1K |
| 2016 | $687.90 | $98.64 | 6.97x | $589.26 | $182.4K | 2.9K | 2.1K |
| 2017 | $667.77 | $93.60 | 7.13x | $574.17 | $203.9K | 3.4K | 2.4K |
| 2018 | $496.07 | $97.86 | 5.07x | $398.21 | $218.2K | 3.6K | 2.6K |
| 2019 | $373.20 | $132.01 | 2.83x | $241.19 | $245.5K | 3.3K | 2.4K |
| 2020 | $196.28 | $119.91 | 1.64x | $76.37 | $231.0K | 3.1K | 2.2K |
| 2021 | $186.53 | $132.22 | 1.41x | $54.31 | $636.7K | 5.9K | 2.6K |
| 2022 | $190.21 | $128.63 | 1.48x | $61.58 | $497.3K | 5.1K | 2.5K |
| 2023 | $171.83 | $113.56 | 1.51x | $58.27 | $481.4K | 5.2K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77290 | Management of radiation therapy, simulation, complex | 1.6K | $560.4K | $342.31 | 1.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.4K | $540.4K | $51.86 | 2.42x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 957 | $428.9K | $448.17 | 2.76x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.5K | $193.1K | $75.91 | 1.98x |
| 17004 | Destruction of 15 or more skin growths | 1.8K | $188.5K | $107.24 | 2.47x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.3K | $150.3K | $64.28 | 4.06x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 702 | $141.5K | $201.56 | 4.32x |
| 11102 | Tangential biopsy of single skin lesion | 2.2K | $135.9K | $62.41 | 1.79x |
| 17000 | Destruction of skin growth | 3.7K | $130.8K | $35.01 | 3.40x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 507 | $111.3K | $219.59 | 3.28x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 188 | $84.2K | $447.89 | 1.37x |
| 77280 | Management of radiation therapy simulation, simple | 390 | $78.1K | $200.28 | 1.30x |
| 77401 | Radiation treatment delivery, superficial | 1.9K | $57.5K | $29.80 | 1.28x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 185 | $48.0K | $259.69 | 2.83x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1.6K | $41.8K | $26.84 | 2.13x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 984 | $41.2K | $41.87 | 3.26x |
| 17110 | Destruction of up to 14 skin growths | 535 | $39.5K | $73.85 | 2.97x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 136 | $37.9K | $278.80 | 3.25x |
| 11103 | Tangential biopsy of additional skin lesion | 857 | $31.5K | $36.71 | 1.59x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 282 | $31.2K | $110.53 | 3.29x |
This provider submits charges 2.4 times higher than what Medicare actually pays.
A markup ratio of 2.4x means for every $100 Medicare pays, this provider initially charges $240. 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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