This provider's $4.8M in total Medicare payments ranks in the 98th 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 | $213.59 | $57.55 | 3.71x | $156.04 | $386.1K | 8.7K | 7.3K |
| 2015 | $252.65 | $62.79 | 4.02x | $189.86 | $470.2K | 9.8K | 7.9K |
| 2016 | $273.74 | $67.36 | 4.06x | $206.38 | $446.1K | 9.7K | 7.7K |
| 2017 | $194.31 | $60.72 | 3.20x | $133.59 | $458.8K | 10.1K | 8.0K |
| 2018 | $150.02 | $69.45 | 2.16x | $80.57 | $439.2K | 10.0K | 7.8K |
| 2019 | $130.46 | $58.58 | 2.23x | $71.88 | $480.6K | 10.8K | 8.6K |
| 2020 | $120.03 | $51.93 | 2.31x | $68.10 | $443.2K | 10.4K | 8.5K |
| 2021 | $133.09 | $55.02 | 2.42x | $78.07 | $531.7K | 11.8K | 9.3K |
| 2022 | $137.42 | $57.81 | 2.38x | $79.61 | $557.3K | 12.6K | 10.0K |
| 2023 | $130.27 | $51.62 | 2.52x | $78.65 | $576.0K | 13.4K | 10.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 7.3K | $551.7K | $75.53 | 2.13x |
| 10061 | Drainage of multiple abscess | 3.3K | $427.6K | $129.92 | 1.94x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 7.9K | $389.7K | $49.26 | 2.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.2K | $379.4K | $41.03 | 1.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.4K | $351.8K | $65.03 | 1.82x |
| 17110 | Destruction of up to 14 skin growths | 11.7K | $350.1K | $29.97 | 3.98x |
| 17000 | Destruction of skin growth | 13.1K | $273.8K | $20.94 | 6.77x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $264.7K | $226.22 | 2.79x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 4.6K | $244.5K | $53.61 | 4.04x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 4.1K | $197.1K | $47.73 | 4.12x |
| 17271 | Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals | 4.2K | $177.4K | $42.47 | 4.10x |
| 17280 | Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth | 3.8K | $132.3K | $34.61 | 3.53x |
| 17004 | Destruction of 15 or more skin growths | 1.4K | $104.4K | $75.40 | 1.57x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 2.4K | $86.1K | $35.19 | 4.17x |
| 67850 | Destruction of (up to 1 centimeter) growth of eyelid margin | 1.2K | $81.1K | $65.43 | 2.95x |
| 10060 | Drainage of abscess | 1.6K | $76.5K | $49.15 | 2.30x |
| 17270 | Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals | 1.8K | $66.6K | $37.88 | 3.39x |
| 11644 | Removal of malignant growth (3.1 to 4.0 centimeters) of the face, ears, eyelids, nose, or lips | 466 | $52.6K | $112.95 | 2.74x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.4K | $46.3K | $32.04 | 2.89x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 1.8K | $44.3K | $24.03 | 6.84x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. 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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