This provider's $5.5M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 95% 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 | $341.16 | $108.94 | 3.13x | $232.22 | $405.5K | 5.8K | 4.3K |
| 2015 | $362.39 | $109.13 | 3.32x | $253.26 | $452.7K | 6.3K | 4.7K |
| 2016 | $299.33 | $94.64 | 3.16x | $204.69 | $456.4K | 7.0K | 5.0K |
| 2017 | $299.35 | $99.34 | 3.01x | $200.01 | $508.9K | 7.8K | 5.6K |
| 2018 | $297.31 | $96.31 | 3.09x | $201.00 | $508.2K | 7.9K | 5.7K |
| 2019 | $305.22 | $101.00 | 3.02x | $204.22 | $549.6K | 8.4K | 6.1K |
| 2020 | $301.14 | $100.21 | 3.01x | $200.93 | $496.2K | 7.2K | 5.4K |
| 2021 | $324.88 | $109.93 | 2.96x | $214.95 | $667.5K | 8.1K | 6.2K |
| 2022 | $330.63 | $107.52 | 3.08x | $223.11 | $712.6K | 8.8K | 6.7K |
| 2023 | $362.90 | $104.49 | 3.47x | $258.41 | $789.6K | 10.2K | 7.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 23.7K | $1.6M | $67.31 | 2.53x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.8K | $633.2K | $108.33 | 2.44x |
| 17000 | Destruction of skin growth | 12.8K | $593.8K | $46.46 | 3.83x |
| 17110 | Destruction of up to 14 skin growths | 5.1K | $495.9K | $96.57 | 3.26x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.9K | $366.1K | $94.07 | 2.42x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.5K | $289.0K | $83.06 | 3.90x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.2K | $164.5K | $142.75 | 2.88x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 1.1K | $123.8K | $117.57 | 3.05x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 474 | $120.6K | $254.51 | 1.81x |
| 11102 | Tangential biopsy of single skin lesion | 1.3K | $102.2K | $80.71 | 5.40x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 534 | $78.8K | $147.53 | 2.59x |
| 11310 | Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth | 775 | $70.7K | $91.23 | 3.06x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 495 | $60.2K | $121.65 | 2.64x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 492 | $58.4K | $118.61 | 8.63x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 590 | $58.3K | $98.76 | 3.01x |
| 17003 | Destruction of 2-14 skin growths | 8.3K | $48.5K | $5.87 | 7.15x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 213 | $44.1K | $207.11 | 2.83x |
| 17004 | Destruction of 15 or more skin growths | 295 | $41.9K | $141.96 | 2.97x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 294 | $40.7K | $138.46 | 3.09x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 241 | $40.1K | $166.25 | 2.88x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. This is higher 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.
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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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