This provider's $8.3M 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 | $663.85 | $207.14 | 3.20x | $456.71 | $734.6K | 4.8K | 4.0K |
| 2015 | $685.23 | $217.94 | 3.14x | $467.29 | $671.0K | 4.3K | 3.7K |
| 2016 | $568.95 | $182.94 | 3.11x | $386.01 | $840.7K | 5.5K | 4.4K |
| 2017 | $639.00 | $204.56 | 3.12x | $434.44 | $914.9K | 5.5K | 4.6K |
| 2018 | $765.33 | $249.64 | 3.07x | $515.69 | $889.6K | 5.0K | 4.2K |
| 2019 | $703.68 | $230.38 | 3.05x | $473.30 | $1.0M | 5.6K | 4.6K |
| 2020 | $689.94 | $222.42 | 3.10x | $467.52 | $841.3K | 4.3K | 3.6K |
| 2021 | $671.61 | $216.51 | 3.10x | $455.10 | $817.3K | 4.1K | 3.4K |
| 2022 | $780.96 | $252.55 | 3.09x | $528.41 | $796.0K | 3.8K | 3.2K |
| 2023 | $724.71 | $219.99 | 3.29x | $504.72 | $767.5K | 3.6K | 2.9K |
| 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) | 5.2K | $1.6M | $300.99 | 4.77x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.9K | $1.4M | $292.48 | 2.44x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.4K | $767.7K | $549.12 | 2.88x |
| 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 | 1.1K | $721.8K | $677.11 | 3.20x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.8K | $436.6K | $246.93 | 3.14x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 890 | $357.0K | $401.13 | 3.01x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 631 | $354.7K | $562.18 | 3.03x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.2K | $278.6K | $238.09 | 2.99x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 907 | $244.5K | $269.62 | 1.67x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 8.0K | $230.0K | $28.83 | 4.07x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 804 | $226.2K | $281.32 | 2.40x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 273 | $199.8K | $731.86 | 2.95x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 286 | $181.5K | $634.44 | 2.78x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.5K | $138.0K | $91.74 | 5.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $130.6K | $71.86 | 2.34x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $128.2K | $46.79 | 2.55x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.8K | $119.5K | $67.39 | 2.68x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 157 | $114.0K | $725.86 | 3.13x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 561 | $109.7K | $195.47 | 5.59x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 909 | $76.7K | $84.38 | 3.46x |
This provider submits charges 3.29 times higher than what Medicare actually pays.
A markup ratio of 3.29x means for every $100 Medicare pays, this provider initially charges $329. 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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