This provider averages 53 services per working day
Based on 132.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 57% from 2014 to 2023.
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 | $272.75 | $107.81 | 2.53x | $164.94 | $577.4K | 9.1K | 6.8K |
| 2015 | $283.36 | $114.46 | 2.48x | $168.90 | $556.0K | 8.8K | 6.6K |
| 2016 | $293.47 | $113.19 | 2.59x | $180.28 | $747.3K | 12.0K | 9.1K |
| 2017 | $311.56 | $116.08 | 2.68x | $195.48 | $850.7K | 14.7K | 11.4K |
| 2018 | $330.71 | $124.62 | 2.65x | $206.09 | $761.1K | 12.4K | 9.5K |
| 2019 | $304.60 | $115.90 | 2.63x | $188.70 | $953.1K | 16.6K | 12.9K |
| 2020 | $317.89 | $134.47 | 2.36x | $183.42 | $821.5K | 13.4K | 10.9K |
| 2021 | $294.66 | $126.85 | 2.32x | $167.81 | $1.2M | 17.5K | 13.8K |
| 2022 | $291.41 | $123.23 | 2.36x | $168.18 | $991.1K | 14.5K | 11.0K |
| 2023 | $350.45 | $125.05 | 2.80x | $225.40 | $908.3K | 13.5K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.0K | $1.6M | $57.57 | 2.13x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.8K | $1.5M | $83.20 | 2.11x |
| 17000 | Destruction of skin growth | 25.0K | $978.3K | $39.16 | 3.21x |
| 11102 | Tangential biopsy of single skin lesion | 8.4K | $594.5K | $70.39 | 2.28x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.9K | $422.9K | $71.27 | 2.12x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 3.9K | $328.8K | $83.95 | 1.69x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.0K | $293.2K | $287.69 | 1.53x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.8K | $173.0K | $36.08 | 2.09x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 433 | $165.7K | $382.70 | 2.50x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 486 | $165.1K | $339.63 | 1.56x |
| 17110 | Destruction of up to 14 skin growths | 2.0K | $159.4K | $80.70 | 2.15x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 981 | $154.9K | $157.95 | 2.60x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.1K | $147.6K | $131.79 | 2.21x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.9K | $141.0K | $75.95 | 2.30x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 359 | $110.7K | $308.35 | 1.99x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 573 | $91.8K | $160.21 | 1.67x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 434 | $85.5K | $197.06 | 2.54x |
| 11103 | Tangential biopsy of additional skin lesion | 2.0K | $81.5K | $40.70 | 2.66x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.5K | $78.6K | $52.73 | 2.28x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 527 | $75.2K | $142.68 | 3.52x |
This provider submits charges 2.39 times higher than what Medicare actually pays.
A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. 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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