This provider's $18.2M in total Medicare payments ranks in the 98th percentile of Micrographic Dermatologic Surgery providers nationally.
Their average markup ratio of 5.3x is significantly above the specialty median of 3.1x.
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 | $1.2K | $192.10 | 6.14x | $987.59 | $1.4M | 8.6K | 7.6K |
| 2015 | $1.2K | $214.47 | 5.76x | $1.0K | $1.6M | 8.6K | 7.3K |
| 2016 | $1.4K | $236.84 | 6.02x | $1.2K | $1.8M | 9.3K | 7.7K |
| 2017 | $1.3K | $228.42 | 5.87x | $1.1K | $1.9M | 10.5K | 8.8K |
| 2018 | $1.2K | $214.75 | 5.78x | $1.0K | $1.8M | 10.4K | 8.5K |
| 2019 | $1.4K | $233.19 | 6.02x | $1.2K | $1.8M | 10.9K | 8.5K |
| 2020 | $1.4K | $233.13 | 6.05x | $1.2K | $1.8M | 10.4K | 8.2K |
| 2021 | $1.3K | $225.23 | 5.96x | $1.1K | $2.1M | 11.6K | 9.6K |
| 2022 | $1.4K | $223.88 | 6.26x | $1.2K | $2.0M | 11.2K | 9.3K |
| 2023 | $1.5K | $233.28 | 6.48x | $1.3K | $2.0M | 10.9K | 9.2K |
| 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) | 13.8K | $4.6M | $333.07 | 5.35x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 7.4K | $2.1M | $289.13 | 3.75x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 2.1K | $1.6M | $733.00 | 5.55x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.9K | $1.0M | $360.29 | 4.57x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.8K | $930.3K | $527.69 | 5.65x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 3.8K | $683.7K | $179.07 | 8.70x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 764 | $607.8K | $795.55 | 5.59x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 732 | $529.7K | $723.67 | 5.66x |
| 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 | 794 | $525.9K | $662.38 | 5.41x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 16.7K | $497.3K | $29.75 | 3.22x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.9K | $408.6K | $59.09 | 2.82x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 577 | $373.9K | $648.03 | 5.83x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.2K | $294.0K | $133.51 | 4.92x |
| 17110 | Destruction of up to 14 skin growths | 3.8K | $272.2K | $71.36 | 3.53x |
| 15576 | Creation of flap graft to eyelids, nose, ears, lips, or mouth | 456 | $261.1K | $572.53 | 7.90x |
| 15630 | Transfer of skin flap to eyelids, nose, ears, or lips | 596 | $193.6K | $324.80 | 7.76x |
| 88331 | Pathology examination of tissue during surgery | 2.5K | $189.6K | $74.62 | 5.37x |
| 11102 | Tangential biopsy of single skin lesion | 3.6K | $187.0K | $52.10 | 7.32x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 606 | $171.3K | $282.66 | 3.59x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 315 | $158.9K | $504.59 | 6.63x |
This provider submits charges 5.3 times higher than what Medicare actually pays.
A markup ratio of 5.3x means for every $100 Medicare pays, this provider initially charges $530. 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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