This provider's $10.6M 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 | $427.94 | $200.01 | 2.14x | $227.93 | $1.1M | 5.2K | 5.0K |
| 2015 | $429.28 | $207.31 | 2.07x | $221.97 | $1.2M | 5.6K | 5.2K |
| 2016 | $414.90 | $200.84 | 2.07x | $214.06 | $1.2M | 5.9K | 5.4K |
| 2017 | $396.21 | $182.83 | 2.17x | $213.38 | $941.6K | 4.7K | 4.3K |
| 2018 | $372.81 | $177.52 | 2.10x | $195.29 | $1.0M | 5.4K | 4.8K |
| 2019 | $508.91 | $229.90 | 2.21x | $279.01 | $1.0M | 5.1K | 4.6K |
| 2020 | $501.84 | $224.32 | 2.24x | $277.52 | $1.0M | 4.8K | 4.3K |
| 2021 | $613.39 | $241.70 | 2.54x | $371.69 | $1.0M | 4.1K | 3.7K |
| 2022 | $860.76 | $251.28 | 3.43x | $609.48 | $1.0M | 3.9K | 3.5K |
| 2023 | $808.90 | $246.92 | 3.28x | $561.98 | $963.8K | 3.6K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 10.0K | $3.6M | $359.93 | 2.19x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 3.3K | $1.1M | $342.95 | 2.32x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.0K | $848.2K | $281.62 | 1.62x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.1K | $695.4K | $168.26 | 3.72x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 826 | $556.9K | $674.20 | 2.29x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 794 | $537.3K | $676.65 | 2.22x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.7K | $443.2K | $163.44 | 3.19x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 722 | $436.1K | $603.95 | 2.21x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 442 | $333.1K | $753.55 | 2.20x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 520 | $254.0K | $488.51 | 2.33x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4.2K | $209.6K | $49.52 | 2.31x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 1.1K | $194.3K | $176.19 | 3.88x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.0K | $155.9K | $154.97 | 3.01x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 461 | $125.0K | $271.16 | 1.62x |
| 88331 | Pathology examination of tissue during surgery | 1.6K | $114.3K | $72.40 | 2.05x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 313 | $112.7K | $360.22 | 3.24x |
| 15781 | Scraping of skin of face | 424 | $95.8K | $225.86 | 2.88x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 785 | $83.2K | $105.98 | 2.45x |
| 17004 | Destruction of 15 or more skin growths | 537 | $54.5K | $101.58 | 3.35x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.0K | $50.5K | $50.32 | 1.40x |
This provider submits charges 2.37 times higher than what Medicare actually pays.
A markup ratio of 2.37x means for every $100 Medicare pays, this provider initially charges $237. 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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