This provider averages 54 services per working day
Based on 135.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 489% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 346% in 2015
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $189.52 | $125.15 | 1.51x | $64.37 | $235.3K | 3.7K | 3.4K |
| 2015 | $225.69 | $141.20 | 1.60x | $84.49 | $1.0M | 13.5K | 9.5K |
| 2016 | $232.54 | $146.21 | 1.59x | $86.33 | $1.2M | 15.0K | 10.8K |
| 2017 | $221.37 | $140.53 | 1.58x | $80.84 | $1.1M | 15.5K | 11.2K |
| 2018 | $240.51 | $158.43 | 1.52x | $82.08 | $1.1M | 15.2K | 10.9K |
| 2019 | $245.73 | $161.55 | 1.52x | $84.18 | $1.2M | 14.4K | 10.5K |
| 2020 | $244.00 | $161.80 | 1.51x | $82.20 | $1.2M | 14.2K | 10.7K |
| 2021 | $251.21 | $172.70 | 1.45x | $78.51 | $1.3M | 14.2K | 10.8K |
| 2022 | $230.85 | $152.73 | 1.51x | $78.12 | $1.3M | 14.2K | 10.7K |
| 2023 | $227.90 | $149.25 | 1.53x | $78.65 | $1.4M | 15.3K | 11.4K |
| 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) | 3.6K | $1.9M | $513.37 | 1.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 22.6K | $1.2M | $54.15 | 1.49x |
| 17110 | Destruction of up to 14 skin growths | 13.7K | $1.2M | $85.61 | 1.42x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.8K | $963.5K | $338.19 | 1.26x |
| 17000 | Destruction of skin growth | 23.4K | $847.7K | $36.17 | 1.97x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.0K | $627.3K | $90.00 | 1.45x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 922 | $454.2K | $492.59 | 1.37x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.1K | $436.1K | $209.05 | 2.44x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 11.2K | $351.7K | $31.50 | 1.28x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.2K | $310.9K | $254.40 | 1.28x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.1K | $277.4K | $241.64 | 1.36x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.2K | $256.6K | $214.03 | 2.15x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.7K | $253.6K | $69.47 | 1.59x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.1K | $223.9K | $72.01 | 1.58x |
| 17004 | Destruction of 15 or more skin growths | 1.7K | $216.8K | $124.58 | 1.33x |
| 11102 | Tangential biopsy of single skin lesion | 3.3K | $208.5K | $62.66 | 1.76x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 577 | $189.4K | $328.18 | 1.26x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 206 | $172.2K | $835.74 | 1.27x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.1K | $126.4K | $119.57 | 2.52x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 987 | $102.7K | $104.01 | 1.42x |
This provider submits charges 1.52 times higher than what Medicare actually pays.
A markup ratio of 1.52x means for every $100 Medicare pays, this provider initially charges $152. This is lower 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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