This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 69% from 2014 to 2023.
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 | $148.44 | $72.39 | 2.05x | $76.05 | $345.2K | 6.2K | 4.5K |
| 2015 | $147.56 | $69.36 | 2.13x | $78.20 | $342.1K | 6.3K | 4.8K |
| 2016 | $141.53 | $68.29 | 2.07x | $73.24 | $330.6K | 6.0K | 4.5K |
| 2017 | $150.41 | $69.37 | 2.17x | $81.04 | $365.2K | 6.8K | 5.0K |
| 2018 | $186.81 | $92.48 | 2.02x | $94.33 | $420.3K | 7.4K | 5.4K |
| 2019 | $173.62 | $84.64 | 2.05x | $88.98 | $443.6K | 7.7K | 5.7K |
| 2020 | $162.71 | $84.97 | 1.91x | $77.74 | $416.7K | 7.1K | 5.6K |
| 2021 | $168.85 | $87.57 | 1.93x | $81.28 | $477.2K | 8.2K | 6.3K |
| 2022 | $209.38 | $98.44 | 2.13x | $110.94 | $556.9K | 9.1K | 6.7K |
| 2023 | $205.03 | $91.32 | 2.25x | $113.71 | $584.5K | 9.7K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.1K | $661.7K | $81.83 | 1.99x |
| 17000 | Destruction of skin growth | 15.0K | $578.9K | $38.55 | 2.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.5K | $571.2K | $60.24 | 2.03x |
| 17110 | Destruction of up to 14 skin growths | 5.2K | $459.8K | $87.67 | 2.36x |
| 11102 | Tangential biopsy of single skin lesion | 6.1K | $456.9K | $74.63 | 2.19x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.6K | $430.3K | $77.47 | 1.98x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 2.0K | $261.6K | $132.21 | 2.09x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.3K | $161.8K | $37.43 | 1.98x |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 923 | $96.3K | $104.29 | 2.09x |
| 11103 | Tangential biopsy of additional skin lesion | 2.0K | $89.6K | $45.90 | 1.86x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $85.4K | $74.97 | 2.20x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 366 | $56.5K | $154.47 | 1.90x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 2.0K | $55.8K | $27.61 | 1.73x |
| 17003 | Destruction of 2-14 skin growths | 9.3K | $50.6K | $5.43 | 2.27x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 161 | $49.5K | $307.33 | 1.60x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 793 | $40.7K | $51.28 | 2.17x |
| 69100 | Biopsy of ear | 541 | $31.5K | $58.32 | 2.63x |
| 96922 | Treatment of inflammatory skin disease using laser, more than 500.0 sq cm | 139 | $28.2K | $202.62 | 2.06x |
| 17004 | Destruction of 15 or more skin growths | 167 | $22.0K | $131.48 | 2.02x |
| 96920 | Treatment of inflammatory skin disease using laser, less than 250.0 sq cm | 119 | $16.5K | $138.56 | 2.09x |
This provider submits charges 2.19 times higher than what Medicare actually pays.
A markup ratio of 2.19x means for every $100 Medicare pays, this provider initially charges $219. 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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