This provider averages 66 services per working day
Based on 166.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 66 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 | $200.09 | $128.32 | 1.56x | $71.77 | $1.0M | 15.8K | 10.1K |
| 2015 | $202.37 | $133.21 | 1.52x | $69.16 | $990.7K | 16.3K | 10.3K |
| 2016 | $195.42 | $122.28 | 1.60x | $73.14 | $1.1M | 17.1K | 10.9K |
| 2017 | $206.31 | $131.22 | 1.57x | $75.09 | $1.1M | 18.2K | 11.5K |
| 2018 | $215.55 | $141.11 | 1.53x | $74.44 | $1.1M | 17.0K | 10.8K |
| 2019 | $255.39 | $138.39 | 1.85x | $117.00 | $1.1M | 17.5K | 11.6K |
| 2020 | $380.66 | $124.06 | 3.07x | $256.60 | $1.1M | 16.7K | 10.8K |
| 2021 | $385.74 | $131.64 | 2.93x | $254.10 | $994.9K | 16.9K | 10.3K |
| 2022 | $370.97 | $119.54 | 3.10x | $251.43 | $890.7K | 15.7K | 9.7K |
| 2023 | $331.11 | $103.50 | 3.20x | $227.61 | $859.0K | 15.1K | 9.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 24.9K | $1.3M | $53.05 | 2.59x |
| 17110 | Destruction of up to 14 skin growths | 15.9K | $1.0M | $63.26 | 2.54x |
| 17000 | Destruction of skin growth | 28.2K | $874.9K | $30.98 | 3.14x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.6K | $857.8K | $73.87 | 1.79x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.6K | $566.9K | $355.42 | 1.60x |
| 17004 | Destruction of 15 or more skin growths | 4.7K | $528.4K | $113.32 | 1.88x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.6K | $421.9K | $263.99 | 1.40x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 5.7K | $420.2K | $74.10 | 2.36x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 716 | $402.8K | $562.53 | 1.74x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.0K | $325.8K | $314.81 | 1.65x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 3.7K | $259.1K | $70.50 | 2.31x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 450 | $258.0K | $573.22 | 1.56x |
| 96900 | Application of ultraviolet light to skin | 12.6K | $191.3K | $15.24 | 2.35x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.7K | $189.6K | $108.92 | 2.43x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.8K | $187.4K | $101.35 | 3.70x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 2.5K | $185.5K | $74.41 | 2.23x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 515 | $148.8K | $288.98 | 1.63x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.6K | $144.2K | $88.29 | 1.79x |
| 17003 | Destruction of 2-14 skin growths | 23.5K | $108.7K | $4.63 | 2.77x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 477 | $105.5K | $221.08 | 2.63x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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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