This provider's $4.5M 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 | $176.19 | $94.74 | 1.86x | $81.45 | $474.1K | 7.6K | 6.2K |
| 2015 | $159.10 | $83.34 | 1.91x | $75.76 | $539.1K | 9.1K | 7.2K |
| 2016 | $173.78 | $98.99 | 1.76x | $74.79 | $527.3K | 8.5K | 6.7K |
| 2017 | $174.66 | $96.81 | 1.80x | $77.85 | $399.5K | 6.7K | 5.2K |
| 2018 | $172.52 | $91.30 | 1.89x | $81.22 | $390.3K | 6.5K | 5.0K |
| 2019 | $169.15 | $87.51 | 1.93x | $81.64 | $481.8K | 7.5K | 5.8K |
| 2020 | $181.68 | $94.65 | 1.92x | $87.03 | $393.8K | 6.4K | 5.1K |
| 2021 | $186.79 | $100.22 | 1.86x | $86.57 | $460.7K | 6.8K | 5.3K |
| 2022 | $186.32 | $98.06 | 1.90x | $88.26 | $402.1K | 6.1K | 4.9K |
| 2023 | $176.98 | $91.17 | 1.94x | $85.81 | $418.8K | 6.3K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.7K | $804.7K | $216.61 | 1.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.8K | $776.7K | $49.10 | 1.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.0K | $372.3K | $74.79 | 1.77x |
| 17000 | Destruction of skin growth | 10.2K | $349.5K | $34.29 | 2.96x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.0K | $317.2K | $63.55 | 1.95x |
| 11102 | Tangential biopsy of single skin lesion | 4.6K | $293.1K | $63.07 | 2.54x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 2.6K | $247.0K | $93.74 | 2.69x |
| 17110 | Destruction of up to 14 skin growths | 2.8K | $202.7K | $73.06 | 1.70x |
| 17004 | Destruction of 15 or more skin growths | 1.1K | $123.3K | $109.81 | 1.71x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 538 | $111.2K | $206.78 | 1.64x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $68.4K | $30.49 | 2.16x |
| 11103 | Tangential biopsy of additional skin lesion | 1.8K | $68.1K | $38.39 | 1.57x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 300 | $63.0K | $210.14 | 1.39x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 205 | $58.4K | $284.76 | 1.37x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 573 | $57.9K | $101.02 | 1.80x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 491 | $53.2K | $108.41 | 2.56x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 540 | $51.5K | $95.32 | 1.49x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 148 | $47.3K | $319.51 | 1.33x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 594 | $47.2K | $79.40 | 1.95x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 544 | $34.8K | $64.01 | 2.64x |
This provider submits charges 1.96 times higher than what Medicare actually pays.
A markup ratio of 1.96x means for every $100 Medicare pays, this provider initially charges $196. 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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