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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Heather Larabee
๐Ÿงด
MDIndividual

Heather Larabee, M.D.

NPI: 1487699690
Osprey, FL
10 years of data
Dermatology
$10.4M
Total Payments
44.1K
Beneficiaries
51.0K
Services
2.62x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.4M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $10.4M over 10 years
22.62x markup ratio (above median)
399th percentile in Dermatology by payments
48 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $10.4M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$520.56$186.742.79x$333.82$987.5K5.3K4.5K
2015$467.04$168.212.78x$298.83$1.1M6.6K5.5K
2016$473.23$171.852.75x$301.38$1.1M5.5K4.7K
2017$506.58$183.572.76x$323.01$1.1M5.4K4.5K
2018$540.88$194.122.79x$346.76$1.0M4.9K4.2K
2019$540.90$197.972.73x$342.93$1.1M5.0K4.5K
2020$539.19$200.372.69x$338.82$964.0K4.3K3.8K
2021$554.32$196.532.82x$357.79$1.0M4.8K4.3K
2022$530.42$194.972.72x$335.45$999.8K4.7K4.1K
2023$507.66$186.472.72x$321.19$965.0K4.5K3.9K

Top Procedures (20)

17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)
$5.1M
11.1K services$458.47/svc2.54x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals
$1.7M
5.4K services$312.04/svc2.21x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)
$607.4K
1.4K services$426.84/svc2.55x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$586.0K
10.4K services$56.32/svc2.42x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.4x markup
$473.6K
2.5K services$192.67/svc4.37x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips
$344.5K
565 services$609.82/svc2.25x markup
17314Removal and microscopic examination of growth of the trunk, arms, or legs
$220.0K
734 services$299.70/svc2.21x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$183.0K
309 services$592.28/svc2.28x markup
99202New patient office or other outpatient visit, typically 20 minutes
$178.1K
3.4K services$53.15/svc2.45x markup
17000Destruction of skin growthโš  4.0x markup
$107.6K
3.7K services$29.08/svc4.03x markup
13152Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lipsโš  4.5x markup
$85.6K
423 services$202.45/svc4.48x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legsโš  4.2x markup
$72.1K
402 services$179.27/svc4.20x markup
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.3x markup
$71.4K
460 services$155.24/svc4.35x markup
12052Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouthโš  4.4x markup
$69.2K
551 services$125.55/svc4.41x markup
17004Destruction of 15 or more skin growths
$62.6K
543 services$115.21/svc2.35x markup
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)
$61.9K
78 services$793.80/svc2.23x markup
11100Biopsy of single growth of skin and/or tissueโš  3.0x markup
$56.1K
945 services$59.40/svc3.04x markup
17110Destruction of up to 14 skin growths
$50.6K
632 services$80.06/svc2.41x markup
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$46.2K
63 services$733.22/svc2.29x markup
13151Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lipsโš  4.4x markup
$41.2K
242 services$170.09/svc4.38x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)11.1K$5.1M$458.472.54x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals5.4K$1.7M$312.042.21x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)1.4K$607.4K$426.842.55x
99213Established patient office or other outpatient visit, typically 15 minutes10.4K$586.0K$56.322.42x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2.5K$473.6K$192.674.37x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips565$344.5K$609.822.25x
17314Removal and microscopic examination of growth of the trunk, arms, or legs734$220.0K$299.702.21x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet309$183.0K$592.282.28x
99202New patient office or other outpatient visit, typically 20 minutes3.4K$178.1K$53.152.45x
17000Destruction of skin growth3.7K$107.6K$29.084.03x
13152Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips423$85.6K$202.454.48x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs402$72.1K$179.274.20x
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet460$71.4K$155.244.35x
12052Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth551$69.2K$125.554.41x
17004Destruction of 15 or more skin growths543$62.6K$115.212.35x
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)78$61.9K$793.802.23x
11100Biopsy of single growth of skin and/or tissue945$56.1K$59.403.04x
17110Destruction of up to 14 skin growths632$50.6K$80.062.41x
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet63$46.2K$733.222.29x
13151Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips242$41.2K$170.094.38x

Markup Analysis

Charge-to-Payment Ratio

2.62x

This provider submits charges 2.62 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. This is higher than the national average.

Location

Osprey, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Dermatology providers in FL for peer comparison.

Heather Larabee (you)
$10.4M
Thi Tran, DO
$37.6M
Neil Sandhu, MD
$36.2M
David Casper, M.D.
$35.4M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Thi Tran, DOThe Villages, FL$37.6Mโœ“ Clear
Neil Sandhu, MDOrange City, FL$36.2Mโœ“ Clear
David Casper, M.D.The Villages, FL$35.4Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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