This provider's $3.9M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 253% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $203.62 | $67.89 | 3.00x | $135.73 | $189.9K | 3.7K | 3.2K |
| 2015 | $199.35 | $71.26 | 2.80x | $128.09 | $190.8K | 3.8K | 3.2K |
| 2016 | $191.43 | $63.39 | 3.02x | $128.04 | $185.8K | 3.9K | 3.3K |
| 2017 | $239.09 | $85.68 | 2.79x | $153.41 | $251.9K | 4.7K | 4.0K |
| 2018 | $272.22 | $98.45 | 2.77x | $173.77 | $279.4K | 5.3K | 4.4K |
| 2019 | $243.69 | $87.47 | 2.79x | $156.22 | $436.3K | 8.1K | 6.7K |
| 2020 | $224.50 | $78.22 | 2.87x | $146.28 | $407.9K | 7.6K | 6.4K |
| 2021 | $246.39 | $86.09 | 2.86x | $160.30 | $604.7K | 9.6K | 7.9K |
| 2022 | $250.44 | $87.22 | 2.87x | $163.22 | $704.9K | 11.7K | 9.5K |
| 2023 | $247.06 | $77.71 | 3.18x | $169.35 | $671.0K | 11.3K | 9.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.3K | $1.1M | $62.10 | 3.24x |
| 17000 | Destruction of skin growth | 14.2K | $644.4K | $45.48 | 3.30x |
| 11102 | Tangential biopsy of single skin lesion | 5.8K | $469.9K | $80.48 | 3.15x |
| 17110 | Destruction of up to 14 skin growths | 3.8K | $345.0K | $91.67 | 2.85x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.0K | $239.5K | $78.64 | 2.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $213.5K | $92.76 | 3.16x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $212.0K | $79.05 | 3.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.1K | $144.2K | $34.99 | 4.33x |
| 17004 | Destruction of 15 or more skin growths | 968 | $133.7K | $138.16 | 2.63x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.9K | $100.5K | $53.40 | 3.99x |
| 11103 | Tangential biopsy of additional skin lesion | 1.4K | $63.5K | $46.61 | 2.71x |
| 17003 | Destruction of 2-14 skin growths | 9.6K | $52.6K | $5.48 | 3.65x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 315 | $46.2K | $146.76 | 1.93x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 364 | $41.4K | $113.72 | 2.50x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 170 | $22.0K | $129.69 | 2.74x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 80 | $21.0K | $262.93 | 2.12x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 714 | $18.9K | $26.41 | 8.52x |
| 11900 | Injection of up to 7 skin growths | 403 | $15.6K | $38.71 | 3.90x |
| 69100 | Biopsy of ear | 201 | $13.9K | $69.02 | 2.90x |
| 11104 | Punch biopsy of single skin lesion | 92 | $9.7K | $105.92 | 2.73x |
This provider submits charges 3.21 times higher than what Medicare actually pays.
A markup ratio of 3.21x means for every $100 Medicare pays, this provider initially charges $321. 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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