This provider averages 56 services per working day
Based on 139.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
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 | $169.08 | $98.29 | 1.72x | $70.79 | $932.8K | 13.6K | 9.7K |
| 2015 | $179.89 | $107.37 | 1.68x | $72.52 | $940.2K | 14.4K | 9.9K |
| 2016 | $179.18 | $108.45 | 1.65x | $70.73 | $1.3M | 18.3K | 12.7K |
| 2017 | $194.89 | $115.92 | 1.68x | $78.97 | $1.2M | 16.7K | 12.0K |
| 2018 | $199.32 | $122.56 | 1.63x | $76.76 | $1.1M | 14.3K | 10.3K |
| 2019 | $192.91 | $125.19 | 1.54x | $67.72 | $1.1M | 12.5K | 9.0K |
| 2020 | $180.63 | $116.06 | 1.56x | $64.57 | $853.4K | 10.5K | 7.7K |
| 2021 | $193.92 | $126.49 | 1.53x | $67.43 | $1.1M | 12.7K | 8.7K |
| 2022 | $191.56 | $117.76 | 1.63x | $73.80 | $1.2M | 13.4K | 9.3K |
| 2023 | $185.58 | $114.65 | 1.62x | $70.93 | $1.1M | 12.5K | 8.9K |
| 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) | 3.8K | $2.1M | $535.27 | 1.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 20.9K | $1.2M | $59.15 | 1.43x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.2K | $730.9K | $330.28 | 1.31x |
| 17000 | Destruction of skin growth | 13.1K | $654.4K | $50.10 | 1.46x |
| 11102 | Tangential biopsy of single skin lesion | 7.4K | $589.1K | $79.61 | 1.38x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.5K | $573.8K | $76.53 | 1.49x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.6K | $568.7K | $218.07 | 1.51x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 3.6K | $458.6K | $126.67 | 1.33x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 13.1K | $385.4K | $29.42 | 2.41x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 10.8K | $371.9K | $34.43 | 1.46x |
| 17004 | Destruction of 15 or more skin growths | 1.7K | $211.9K | $123.80 | 1.36x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.5K | $203.9K | $81.22 | 1.48x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.6K | $193.7K | $53.58 | 1.52x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 353 | $181.9K | $515.36 | 1.33x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.6K | $181.7K | $115.32 | 2.33x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.1K | $149.5K | $137.24 | 2.42x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 1.2K | $143.7K | $117.14 | 2.49x |
| 96900 | Application of ultraviolet light to skin | 8.4K | $143.5K | $17.14 | 1.37x |
| 11103 | Tangential biopsy of additional skin lesion | 3.0K | $132.1K | $43.43 | 1.29x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 897 | $112.8K | $125.76 | 1.55x |
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.
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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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