This provider's $7.7M 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 | $272.19 | $127.96 | 2.13x | $144.23 | $561.9K | 6.4K | 3.2K |
| 2015 | $305.05 | $133.10 | 2.29x | $171.95 | $734.7K | 7.9K | 3.3K |
| 2016 | $326.89 | $147.74 | 2.21x | $179.15 | $1.0M | 11.4K | 4.1K |
| 2017 | $350.10 | $152.31 | 2.30x | $197.79 | $1.2M | 13.8K | 5.4K |
| 2018 | $319.24 | $145.56 | 2.19x | $173.68 | $1.3M | 15.7K | 4.1K |
| 2019 | $276.16 | $131.47 | 2.10x | $144.69 | $755.3K | 14.0K | 3.9K |
| 2020 | $308.47 | $157.28 | 1.96x | $151.19 | $754.5K | 15.7K | 4.0K |
| 2021 | $279.40 | $146.72 | 1.90x | $132.68 | $599.8K | 8.9K | 3.1K |
| 2022 | $269.58 | $144.85 | 1.86x | $124.73 | $362.6K | 5.8K | 2.1K |
| 2023 | $279.79 | $143.83 | 1.95x | $135.96 | $368.5K | 6.1K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 32.8K | $2.4M | $74.23 | 2.10x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 35.1K | $1.3M | $36.42 | 1.79x |
| 17108 | Destruction of skin growth (over 50.0 sq centimeters) | 1.9K | $939.6K | $501.63 | 1.56x |
| 17004 | Destruction of 15 or more skin growths | 9.1K | $926.2K | $101.64 | 3.44x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 4.9K | $679.4K | $138.88 | 1.44x |
| 17110 | Destruction of up to 14 skin growths | 5.5K | $449.1K | $81.53 | 2.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $411.4K | $63.34 | 2.21x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $149.6K | $90.82 | 1.38x |
| 99422 | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes | 4.9K | $113.4K | $23.02 | 2.84x |
| 11100 | Biopsy of single growth of skin and/or tissue | 633 | $41.2K | $65.10 | 2.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 277 | $37.2K | $134.13 | 1.45x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 307 | $28.2K | $91.90 | 2.09x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 63 | $25.4K | $403.87 | 2.13x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 138 | $23.6K | $171.29 | 2.34x |
| 17000 | Destruction of skin growth | 546 | $21.2K | $38.82 | 3.71x |
| 11102 | Tangential biopsy of single skin lesion | 217 | $17.0K | $78.14 | 2.51x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 257 | $14.6K | $56.62 | 2.62x |
| 10060 | Drainage of abscess | 116 | $11.0K | $95.02 | 2.05x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 64 | $9.5K | $147.92 | 2.65x |
| 10061 | Drainage of multiple abscess | 45 | $7.7K | $170.45 | 2.06x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. 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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