OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Sean Sukal
๐Ÿงด
MDIndividual

Sean Sukal, M.D.

NPI: 1568538783
Boca Raton, FL
10 years of data
Dermatology
$16.6M
Total Payments
90.6K
Beneficiaries
136.3K
Services
2.59x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$16.6M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $16.6M over 10 years
22.59x markup ratio (above median)
399th percentile in Dermatology by payments
455 services/day โ€” unusually high
56 procedures with >3x markup

This provider averages 55 services per working day

Based on 136.3K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $16.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.

Averaging 55 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$370.39$141.302.62x$229.09$1.6M14.7K9.8K
2015$381.28$148.282.57x$233.00$1.7M17.2K11.3K
2016$409.85$151.312.71x$258.54$1.5M13.4K9.4K
2017$441.15$161.962.72x$279.19$1.6M12.8K8.9K
2018$355.00$150.802.35x$204.20$1.6M12.5K8.4K
2019$358.02$150.582.38x$207.44$1.6M13.2K8.6K
2020$444.21$178.602.49x$265.61$1.7M13.0K8.6K
2021$460.99$158.432.91x$302.56$1.7M12.8K8.3K
2022$551.18$180.563.05x$370.62$1.7M12.8K8.2K
2023$489.13$154.893.16x$334.24$1.9M14.0K8.9K

Top Procedures (20)

17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)
$3.4M
6.4K services$537.62/svc2.27x markup
13120Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs
$1.4M
5.5K services$245.80/svc2.59x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$1.2M
13.2K services$91.96/svc2.22x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
$1.2M
3.9K services$299.86/svc2.64x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)
$1.1M
2.2K services$512.68/svc2.22x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals
$941.0K
2.9K services$329.47/svc2.22x markup
11102Tangential biopsy of single skin lesion
$698.7K
8.7K services$80.72/svc2.38x markup
11100Biopsy of single growth of skin and/or tissue
$696.0K
8.6K services$81.37/svc2.16x markup
13100Repair of wound (1.1 to 2.5 centimeters) of trunk
$691.0K
2.5K services$281.48/svc2.17x markup
13101Repair of wound (2.6 to 7.5 centimeters) of trunk
$663.6K
2.0K services$325.29/svc2.22x markup
17000Destruction of skin growthโš  3.2x markup
$655.0K
16.2K services$40.45/svc3.17x markup
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.0x markup
$493.2K
2.8K services$173.29/svc3.95x markup
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legsโš  4.3x markup
$441.7K
6.2K services$70.93/svc4.31x markup
11602Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legsโš  4.3x markup
$361.9K
3.5K services$103.32/svc4.29x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$296.6K
4.8K services$62.43/svc2.24x markup
17314Removal and microscopic examination of growth of the trunk, arms, or legs
$296.4K
940 services$315.35/svc2.19x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$270.1K
7.3K services$36.79/svc1.89x markup
11103Tangential biopsy of additional skin lesion
$248.0K
5.7K services$43.85/svc2.26x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.2x markup
$245.6K
1.1K services$225.75/svc4.21x markup
13151Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lipsโš  4.1x markup
$198.9K
1.1K services$184.69/svc4.13x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)6.4K$3.4M$537.622.27x
13120Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs5.5K$1.4M$245.802.59x
99214Established patient office or other outpatient, visit typically 25 minutes13.2K$1.2M$91.962.22x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs3.9K$1.2M$299.862.64x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)2.2K$1.1M$512.682.22x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals2.9K$941.0K$329.472.22x
11102Tangential biopsy of single skin lesion8.7K$698.7K$80.722.38x
11100Biopsy of single growth of skin and/or tissue8.6K$696.0K$81.372.16x
13100Repair of wound (1.1 to 2.5 centimeters) of trunk2.5K$691.0K$281.482.17x
13101Repair of wound (2.6 to 7.5 centimeters) of trunk2.0K$663.6K$325.292.22x
17000Destruction of skin growth16.2K$655.0K$40.453.17x
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2.8K$493.2K$173.293.95x
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs6.2K$441.7K$70.934.31x
11602Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs3.5K$361.9K$103.324.29x
99213Established patient office or other outpatient visit, typically 15 minutes4.8K$296.6K$62.432.24x
17314Removal and microscopic examination of growth of the trunk, arms, or legs940$296.4K$315.352.19x
99212Established patient office or other outpatient visit, typically 10 minutes7.3K$270.1K$36.791.89x
11103Tangential biopsy of additional skin lesion5.7K$248.0K$43.852.26x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1.1K$245.6K$225.754.21x
13151Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips1.1K$198.9K$184.694.13x

Markup Analysis

Charge-to-Payment Ratio

2.59x

This provider submits charges 2.59 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. This is higher than the national average.

Location

Boca Raton, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Dermatology providers in FL for peer comparison.

Sean Sukal (you)
$16.6M
Thi Tran, DO
$37.6M
Neil Sandhu, MD
$36.2M
David Casper, M.D.
$35.4M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Thi Tran, DOThe Villages, FL$37.6Mโœ“ Clear
Neil Sandhu, MDOrange City, FL$36.2Mโœ“ Clear
David Casper, M.D.The Villages, FL$35.4Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in FL โ†’
Specialty
All Dermatology providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data