This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 133% 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 | $217.64 | $99.54 | 2.19x | $118.10 | $281.2K | 4.8K | 3.9K |
| 2015 | $233.42 | $103.48 | 2.26x | $129.94 | $305.3K | 5.4K | 4.3K |
| 2016 | $218.30 | $99.14 | 2.20x | $119.16 | $342.5K | 5.9K | 4.5K |
| 2017 | $252.44 | $94.70 | 2.67x | $157.74 | $357.0K | 6.4K | 5.1K |
| 2018 | $301.88 | $97.76 | 3.09x | $204.12 | $394.5K | 7.2K | 5.7K |
| 2019 | $269.91 | $93.65 | 2.88x | $176.26 | $486.4K | 8.2K | 6.1K |
| 2020 | $304.73 | $99.58 | 3.06x | $205.15 | $454.5K | 6.5K | 5.4K |
| 2021 | $335.20 | $105.71 | 3.17x | $229.49 | $566.6K | 7.7K | 6.2K |
| 2022 | $376.79 | $100.00 | 3.77x | $276.79 | $584.4K | 8.1K | 6.4K |
| 2023 | $389.35 | $107.19 | 3.63x | $282.16 | $656.2K | 8.9K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.9K | $862.1K | $61.95 | 2.72x |
| 17110 | Destruction of up to 14 skin growths | 6.6K | $649.9K | $98.33 | 2.87x |
| 17000 | Destruction of skin growth | 14.2K | $600.7K | $42.42 | 3.78x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.3K | $517.0K | $97.25 | 3.08x |
| 17004 | Destruction of 15 or more skin growths | 3.2K | $450.1K | $142.13 | 2.92x |
| 11102 | Tangential biopsy of single skin lesion | 4.0K | $321.7K | $80.66 | 3.31x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.3K | $189.3K | $82.93 | 2.46x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.2K | $182.7K | $83.55 | 2.61x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 489 | $83.7K | $171.27 | 3.48x |
| 10060 | Drainage of abscess | 686 | $71.3K | $103.96 | 2.73x |
| 17003 | Destruction of 2-14 skin growths | 11.9K | $70.1K | $5.87 | 2.89x |
| 17111 | Destruction of 15 or more skin growths | 461 | $53.8K | $116.76 | 2.73x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 486 | $53.0K | $108.99 | 2.59x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 317 | $46.0K | $145.20 | 2.66x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 239 | $43.5K | $182.13 | 3.02x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 210 | $43.5K | $207.16 | 3.21x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 253 | $34.3K | $135.74 | 3.29x |
| 11103 | Tangential biopsy of additional skin lesion | 582 | $29.7K | $51.03 | 2.66x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 117 | $29.1K | $248.75 | 2.63x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 193 | $27.6K | $142.98 | 1.91x |
This provider submits charges 3 times higher than what Medicare actually pays.
A markup ratio of 3x means for every $100 Medicare pays, this provider initially charges $300. 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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