This provider's $6.1M in total Medicare payments ranks in the 98th 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 | $168.20 | $102.97 | 1.63x | $65.23 | $818.3K | 12.0K | 7.1K |
| 2015 | $191.27 | $117.27 | 1.63x | $74.00 | $672.8K | 10.1K | 6.1K |
| 2016 | $182.74 | $113.79 | 1.61x | $68.95 | $580.7K | 8.0K | 4.9K |
| 2017 | $202.82 | $120.84 | 1.68x | $81.98 | $532.0K | 7.3K | 4.5K |
| 2018 | $174.37 | $124.82 | 1.40x | $49.55 | $620.8K | 7.6K | 4.8K |
| 2019 | $190.99 | $133.89 | 1.43x | $57.10 | $655.7K | 7.2K | 4.5K |
| 2020 | $179.45 | $123.53 | 1.45x | $55.92 | $501.3K | 6.1K | 4.1K |
| 2021 | $196.56 | $138.96 | 1.41x | $57.60 | $580.8K | 6.5K | 4.6K |
| 2022 | $182.92 | $122.33 | 1.50x | $60.59 | $573.7K | 6.4K | 4.7K |
| 2023 | $171.73 | $113.21 | 1.52x | $58.52 | $584.4K | 6.2K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 4.7K | $1.2M | $249.20 | 1.37x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.6K | $720.6K | $457.50 | 1.40x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.0K | $424.9K | $53.31 | 1.56x |
| 17000 | Destruction of skin growth | 8.9K | $331.0K | $36.99 | 2.06x |
| 77290 | Management of radiation therapy, simulation, complex | 947 | $325.4K | $343.58 | 1.37x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 11.6K | $324.3K | $28.06 | 1.67x |
| 77280 | Management of radiation therapy simulation, simple | 1.8K | $295.3K | $165.97 | 1.32x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 1.6K | $287.2K | $182.68 | 1.31x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 3.1K | $277.2K | $89.05 | 1.43x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 472 | $197.7K | $418.88 | 1.48x |
| 17110 | Destruction of up to 14 skin growths | 2.6K | $176.6K | $67.66 | 1.66x |
| 77401 | Radiation treatment delivery, superficial | 10.0K | $169.7K | $17.01 | 1.41x |
| 11606 | Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs | 523 | $155.3K | $296.97 | 1.59x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $155.3K | $78.46 | 1.56x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 515 | $146.8K | $285.00 | 1.43x |
| 17004 | Destruction of 15 or more skin growths | 1.2K | $119.2K | $103.07 | 1.72x |
| 77427 | Radiation treatment management, 5 treatments | 728 | $97.6K | $134.11 | 1.32x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 386 | $53.3K | $138.02 | 1.58x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 719 | $49.8K | $69.21 | 1.63x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.2K | $47.1K | $21.23 | 1.45x |
This provider submits charges 1.49 times higher than what Medicare actually pays.
A markup ratio of 1.49x means for every $100 Medicare pays, this provider initially charges $149. This is lower 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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