This provider's $8.9M 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.
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 | $384.47 | $157.14 | 2.45x | $227.33 | $792.6K | 7.4K | 5.8K |
| 2015 | $352.25 | $137.61 | 2.56x | $214.64 | $705.6K | 7.4K | 5.7K |
| 2016 | $362.29 | $136.57 | 2.65x | $225.72 | $784.5K | 8.8K | 6.9K |
| 2017 | $340.08 | $124.43 | 2.73x | $215.65 | $809.0K | 8.8K | 7.0K |
| 2018 | $415.82 | $131.42 | 3.16x | $284.40 | $980.4K | 9.9K | 7.9K |
| 2019 | $421.90 | $137.46 | 3.07x | $284.44 | $1.1M | 10.3K | 8.2K |
| 2020 | $423.21 | $139.66 | 3.03x | $283.55 | $957.4K | 8.8K | 7.1K |
| 2021 | $409.75 | $137.46 | 2.98x | $272.29 | $1.0M | 9.1K | 7.2K |
| 2022 | $424.91 | $137.08 | 3.10x | $287.83 | $924.5K | 8.4K | 6.6K |
| 2023 | $424.64 | $137.95 | 3.08x | $286.69 | $925.9K | 8.3K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 5.8K | $2.6M | $449.80 | 2.33x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 3.3K | $701.9K | $214.73 | 3.87x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.0K | $599.4K | $198.89 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.1K | $597.6K | $53.70 | 2.13x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.5K | $440.0K | $292.76 | 2.06x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 476 | $350.6K | $736.64 | 2.36x |
| 17000 | Destruction of skin growth | 9.3K | $348.5K | $37.29 | 3.23x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.7K | $318.6K | $32.92 | 2.13x |
| 17110 | Destruction of up to 14 skin growths | 4.0K | $301.3K | $75.01 | 2.55x |
| 11102 | Tangential biopsy of single skin lesion | 4.2K | $269.6K | $63.62 | 2.51x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 572 | $259.7K | $453.98 | 2.12x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.8K | $219.5K | $57.80 | 2.64x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3.5K | $171.7K | $48.71 | 3.42x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $163.8K | $70.44 | 2.27x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 754 | $158.1K | $209.63 | 3.90x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 689 | $144.0K | $209.05 | 3.13x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.1K | $126.9K | $112.28 | 4.07x |
| 17004 | Destruction of 15 or more skin growths | 1.1K | $126.5K | $111.24 | 2.62x |
| 88331 | Pathology examination of tissue during surgery | 1.1K | $81.8K | $73.57 | 2.72x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 754 | $72.8K | $96.61 | 4.29x |
This provider submits charges 2.66 times higher than what Medicare actually pays.
A markup ratio of 2.66x means for every $100 Medicare pays, this provider initially charges $266. 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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