This provider's $5.4M in total Medicare payments ranks in the 98th 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 | $177.78 | $87.63 | 2.03x | $90.15 | $433.0K | 7.0K | 4.4K |
| 2015 | $183.94 | $90.43 | 2.03x | $93.51 | $479.8K | 7.5K | 4.9K |
| 2016 | $187.18 | $91.14 | 2.05x | $96.04 | $540.7K | 8.7K | 5.6K |
| 2017 | $196.48 | $91.69 | 2.14x | $104.79 | $519.3K | 9.5K | 5.7K |
| 2018 | $218.67 | $108.38 | 2.02x | $110.29 | $512.5K | 9.4K | 5.3K |
| 2019 | $247.75 | $107.95 | 2.30x | $139.80 | $543.3K | 9.8K | 5.7K |
| 2020 | $246.47 | $104.28 | 2.36x | $142.19 | $470.8K | 8.3K | 4.8K |
| 2021 | $262.26 | $125.19 | 2.09x | $137.07 | $594.1K | 8.6K | 5.0K |
| 2022 | $256.87 | $109.70 | 2.34x | $147.17 | $667.0K | 10.3K | 6.1K |
| 2023 | $247.82 | $103.50 | 2.39x | $144.32 | $595.9K | 9.4K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17110 | Destruction of up to 14 skin growths | 11.4K | $971.2K | $85.43 | 1.95x |
| 17000 | Destruction of skin growth | 13.6K | $624.5K | $45.99 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.8K | $581.2K | $59.08 | 2.39x |
| 17111 | Destruction of 15 or more skin growths | 5.2K | $526.3K | $100.52 | 1.99x |
| 11102 | Tangential biopsy of single skin lesion | 4.6K | $338.4K | $74.14 | 2.34x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.8K | $277.3K | $72.87 | 1.85x |
| 17004 | Destruction of 15 or more skin growths | 2.1K | $235.1K | $113.62 | 2.38x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 7.0K | $201.6K | $28.81 | 1.57x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 826 | $198.0K | $239.69 | 1.81x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 531 | $180.4K | $339.76 | 1.71x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.0K | $163.8K | $54.63 | 2.09x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $159.2K | $78.75 | 2.48x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.7K | $130.0K | $35.18 | 1.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $101.1K | $95.80 | 2.11x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 305 | $96.1K | $315.09 | 1.70x |
| 17003 | Destruction of 2-14 skin growths | 13.3K | $63.7K | $4.80 | 3.77x |
| 11104 | Punch biopsy of single skin lesion | 519 | $50.6K | $97.57 | 2.19x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 155 | $48.0K | $309.67 | 2.14x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 470 | $46.1K | $98.01 | 3.33x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 352 | $39.5K | $112.21 | 3.62x |
This provider submits charges 2.18 times higher than what Medicare actually pays.
A markup ratio of 2.18x means for every $100 Medicare pays, this provider initially charges $218. 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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