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

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. David Shriner
๐Ÿงด
MDIndividual

David Shriner, M.D.

NPI: 1609884915
San Antonio, TX
10 years of data
Dermatology
$7.7M
Total Payments
25.5K
Beneficiaries
28.3K
Services
2.22x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.7M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $7.7M over 10 years
22.22x markup ratio (above median)
399th percentile in Dermatology by payments
45 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $7.7M in total Medicare payments ranks in the 99th 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.

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$577.50$262.242.20x$315.26$690.7K2.7K2.4K
2015$577.50$261.312.21x$316.19$642.9K2.6K2.4K
2016$535.00$246.672.17x$288.33$764.3K3.0K2.7K
2017$538.98$239.752.25x$299.23$914.9K3.7K3.4K
2018$573.10$276.142.08x$296.96$891.4K3.4K3.1K
2019$561.43$272.182.06x$289.25$712.0K2.7K2.4K
2020$535.01$265.522.01x$269.49$802.2K2.9K2.6K
2021$619.63$308.042.01x$311.59$829.0K2.7K2.5K
2022$571.32$278.452.05x$292.87$767.3K2.4K2.2K
2023$580.56$283.532.05x$297.03$690.1K2.1K1.9K

Top Procedures (20)

17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)โš  3.2x markup
$1.8M
6.5K services$267.80/svc3.23x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$1.6M
3.2K services$505.22/svc1.84x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips
$1.1M
2.1K services$533.15/svc1.81x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals
$940.0K
3.2K services$295.33/svc1.76x markup
14020Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs
$678.1K
1.5K services$453.29/svc1.90x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)
$350.4K
1.2K services$280.58/svc2.81x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$267.3K
4.9K services$54.68/svc1.37x markup
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)
$165.3K
222 services$744.82/svc1.56x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
$160.8K
797 services$201.73/svc2.53x markup
17314Removal and microscopic examination of growth of the trunk, arms, or legs
$110.5K
387 services$285.59/svc1.68x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  3.4x markup
$98.8K
505 services$195.55/svc3.35x markup
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$87.0K
129 services$674.27/svc1.82x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$78.9K
858 services$91.94/svc1.47x markup
13101Repair of wound (2.6 to 7.5 centimeters) of trunk
$73.2K
364 services$201.11/svc2.36x markup
14021Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs
$45.8K
70 services$653.73/svc1.91x markup
11603Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legsโš  3.3x markup
$30.7K
306 services$100.18/svc3.31x markup
17000Destruction of skin growthโš  3.6x markup
$20.6K
779 services$26.41/svc3.60x markup
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  3.1x markup
$12.1K
83 services$145.75/svc3.09x markup
14000Tissue transfer repair of wound (10 sq centimeters or less) of the trunk
$10.6K
32 services$332.26/svc2.39x markup
11100Biopsy of single growth of skin and/or tissue
$10.3K
214 services$48.26/svc2.59x 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)6.5K$1.8M$267.803.23x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet3.2K$1.6M$505.221.84x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips2.1K$1.1M$533.151.81x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals3.2K$940.0K$295.331.76x
14020Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs1.5K$678.1K$453.291.90x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)1.2K$350.4K$280.582.81x
99213Established patient office or other outpatient visit, typically 15 minutes4.9K$267.3K$54.681.37x
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)222$165.3K$744.821.56x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs797$160.8K$201.732.53x
17314Removal and microscopic examination of growth of the trunk, arms, or legs387$110.5K$285.591.68x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet505$98.8K$195.553.35x
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet129$87.0K$674.271.82x
99214Established patient office or other outpatient, visit typically 25 minutes858$78.9K$91.941.47x
13101Repair of wound (2.6 to 7.5 centimeters) of trunk364$73.2K$201.112.36x
14021Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs70$45.8K$653.731.91x
11603Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs306$30.7K$100.183.31x
17000Destruction of skin growth779$20.6K$26.413.60x
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet83$12.1K$145.753.09x
14000Tissue transfer repair of wound (10 sq centimeters or less) of the trunk32$10.6K$332.262.39x
11100Biopsy of single growth of skin and/or tissue214$10.3K$48.262.59x

Markup Analysis

Charge-to-Payment Ratio

2.22x

This provider submits charges 2.22 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. This is higher than the national average.

Location

San Antonio, TX

Provider Verification

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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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.

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