This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 412% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2021
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 | $152.20 | $83.61 | 1.82x | $68.59 | $362.6K | 6.4K | 4.6K |
| 2015 | $231.66 | $94.37 | 2.45x | $137.29 | $282.4K | 5.4K | 3.8K |
| 2016 | $283.76 | $105.40 | 2.69x | $178.36 | $408.8K | 6.6K | 3.8K |
| 2017 | $300.74 | $103.90 | 2.89x | $196.84 | $425.5K | 7.4K | 4.6K |
| 2018 | $310.05 | $110.80 | 2.80x | $199.25 | $435.4K | 7.7K | 5.0K |
| 2019 | $317.39 | $121.97 | 2.60x | $195.42 | $572.1K | 8.1K | 4.8K |
| 2020 | $322.55 | $120.46 | 2.68x | $202.09 | $693.9K | 7.8K | 3.9K |
| 2021 | $417.90 | $139.67 | 2.99x | $278.23 | $1.2M | 11.0K | 5.1K |
| 2022 | $570.74 | $267.98 | 2.13x | $302.76 | $1.7M | 13.3K | 5.9K |
| 2023 | $392.25 | $127.98 | 3.06x | $264.27 | $1.9M | 17.0K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 7.3K | $1.7M | $234.65 | 2.41x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 7.7K | $1.1M | $137.48 | 2.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.0K | $665.5K | $55.43 | 2.72x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 672 | $355.2K | $528.62 | 2.65x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 3.8K | $322.9K | $84.11 | 2.33x |
| 17000 | Destruction of skin growth | 7.2K | $292.4K | $40.44 | 3.02x |
| Q4244 | Procenta, per 200 mg | 37 | $284.2K | $7.7K | 1.28x |
| 77401 | Radiation treatment delivery, superficial | 9.6K | $277.6K | $28.99 | 2.41x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 7.0K | $223.0K | $31.76 | 2.88x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.6K | $188.3K | $72.23 | 2.36x |
| 77427 | Radiation treatment management, 5 treatments | 1.1K | $182.3K | $161.19 | 2.46x |
| 11102 | Tangential biopsy of single skin lesion | 2.4K | $169.6K | $71.97 | 2.81x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 669 | $157.6K | $235.63 | 2.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.7K | $157.0K | $33.59 | 2.31x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 371 | $130.9K | $352.89 | 2.42x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 498 | $125.7K | $252.43 | 1.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $124.7K | $79.60 | 2.81x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $112.1K | $73.24 | 2.85x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 398 | $104.0K | $261.30 | 3.60x |
| 77290 | Management of radiation therapy, simulation, complex | 232 | $95.3K | $410.75 | 2.36x |
This provider submits charges 2.53 times higher than what Medicare actually pays.
A markup ratio of 2.53x means for every $100 Medicare pays, this provider initially charges $253. 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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