This provider's $9.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 2782% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 534% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $121.52 | $60.69 | 2.00x | $60.83 | $139.2K | 2.3K | 17 |
| 2017 | $186.35 | $78.34 | 2.38x | $108.01 | $149.3K | 1.9K | 17 |
| 2018 | $101.09 | $39.37 | 2.57x | $61.72 | $348.7K | 8.9K | 27 |
| 2019 | $93.80 | $34.96 | 2.68x | $58.84 | $364.3K | 10.4K | 32 |
| 2020 | $62.86 | $24.45 | 2.57x | $38.41 | $196.6K | 8.0K | 23 |
| 2021 | $224.95 | $126.14 | 1.78x | $98.81 | $1.2M | 9.9K | 29 |
| 2022 | $338.14 | $238.15 | 1.42x | $99.99 | $2.8M | 11.6K | 23 |
| 2023 | $882.57 | $669.97 | 1.32x | $212.60 | $4.0M | 6.0K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 3.9K | $2.9M | $764.75 | 1.28x |
| Q4262 | Dual layer impax membrane, per square centimeter | 1.9K | $2.1M | $1.1K | 1.28x |
| Q4197 | Puraply xt, per square centimeter | 4.9K | $1.0M | $211.83 | 1.84x |
| Q4276 | Orion, per square centimeter | 590 | $684.8K | $1.2K | 1.28x |
| Q4159 | Affinity, per square centimeter | 455 | $385.8K | $848.00 | 1.35x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 1.3K | $338.3K | $267.66 | 1.27x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 500 | $221.9K | $443.85 | 2.43x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.0K | $166.2K | $83.91 | 1.95x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 338 | $142.7K | $422.17 | 2.32x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.2K | $137.2K | $61.36 | 1.89x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 325 | $104.8K | $322.44 | 1.98x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.8K | $85.2K | $30.35 | 5.21x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 925 | $74.6K | $80.65 | 2.11x |
| 17110 | Destruction of skin growth, 1-14 growths | 767 | $62.8K | $81.87 | 2.15x |
| 17000 | Destruction of precancer skin growth, 1 growth | 1.3K | $55.7K | $42.49 | 2.71x |
| 11100 | Biopsy of single growth of skin and/or tissue | 676 | $54.1K | $79.98 | 2.16x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 196 | $52.5K | $267.83 | 2.65x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 79 | $48.0K | $607.32 | 2.04x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 480 | $46.9K | $97.66 | 2.27x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 161 | $46.6K | $289.73 | 2.21x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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.
Other Dermatology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Thi Tran, DO | The Villages, FL | $37.6M | ✓ Clear |
| Neil Sandhu, MD | Orange City, FL | $36.2M | ✓ Clear |
| David Casper, M.D. | The Villages, FL | $35.4M | ✓ Clear |
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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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