This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 151% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 108% 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 | $346.64 | $164.69 | 2.10x | $181.95 | $426.2K | 4.4K | 3.4K |
| 2015 | $345.36 | $165.17 | 2.09x | $180.19 | $496.9K | 4.9K | 3.9K |
| 2016 | $354.60 | $161.45 | 2.20x | $193.15 | $485.7K | 5.1K | 4.0K |
| 2017 | $388.71 | $183.14 | 2.12x | $205.57 | $522.9K | 5.6K | 4.4K |
| 2018 | $415.89 | $190.61 | 2.18x | $225.28 | $542.8K | 5.3K | 4.3K |
| 2019 | $635.08 | $213.40 | 2.98x | $421.68 | $736.4K | 6.3K | 5.3K |
| 2020 | $653.87 | $205.67 | 3.18x | $448.20 | $562.7K | 4.9K | 4.0K |
| 2021 | $739.45 | $252.22 | 2.93x | $487.23 | $1.2M | 6.1K | 5.1K |
| 2022 | $871.55 | $274.80 | 3.17x | $596.75 | $1.4M | 5.5K | 4.9K |
| 2023 | $828.12 | $262.83 | 3.15x | $565.29 | $1.1M | 4.3K | 3.8K |
| 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) | 3.8K | $1.8M | $463.72 | 3.12x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.3K | $856.9K | $380.85 | 2.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.3K | $575.4K | $62.19 | 2.35x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 693 | $475.2K | $685.67 | 2.37x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.3K | $314.5K | $246.09 | 4.33x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 449 | $311.1K | $692.92 | 2.37x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 956 | $261.1K | $273.16 | 3.59x |
| 17000 | Destruction of skin growth | 5.6K | $256.5K | $45.96 | 2.91x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 271 | $247.1K | $911.88 | 2.48x |
| 17110 | Destruction of up to 14 skin growths | 2.4K | $221.6K | $93.42 | 2.36x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 348 | $193.5K | $555.95 | 2.84x |
| 17004 | Destruction of 15 or more skin growths | 1.4K | $179.5K | $126.78 | 2.65x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 191 | $158.3K | $828.59 | 2.67x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.0K | $158.2K | $80.04 | 1.90x |
| 11102 | Tangential biopsy of single skin lesion | 1.7K | $149.6K | $87.93 | 2.91x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 369 | $118.2K | $320.27 | 2.15x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $116.6K | $80.22 | 2.45x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.0K | $110.0K | $37.06 | 2.39x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3.0K | $101.1K | $33.68 | 2.82x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.0K | $92.9K | $89.99 | 2.98x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. This is higher 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ 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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