This provider's $6.3M 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 | $116.34 | $75.58 | 1.54x | $40.76 | $630.0K | 12.2K | 8.8K |
| 2015 | $120.57 | $79.20 | 1.52x | $41.37 | $639.9K | 11.1K | 8.1K |
| 2016 | $125.05 | $78.23 | 1.60x | $46.82 | $654.5K | 11.6K | 8.4K |
| 2017 | $115.85 | $75.01 | 1.54x | $40.84 | $607.6K | 10.6K | 7.8K |
| 2018 | $120.41 | $77.42 | 1.56x | $42.99 | $590.3K | 10.4K | 7.5K |
| 2019 | $115.86 | $74.45 | 1.56x | $41.41 | $627.8K | 9.9K | 7.1K |
| 2020 | $116.54 | $76.83 | 1.52x | $39.71 | $624.1K | 9.5K | 6.7K |
| 2021 | $112.93 | $75.32 | 1.50x | $37.61 | $695.9K | 9.8K | 6.8K |
| 2022 | $120.92 | $77.51 | 1.56x | $43.41 | $656.9K | 9.3K | 6.5K |
| 2023 | $119.13 | $78.76 | 1.51x | $40.37 | $613.9K | 8.8K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 22.3K | $2.4M | $105.75 | 1.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 31.0K | $1.5M | $48.49 | 1.52x |
| 17110 | Destruction of up to 14 skin growths | 10.8K | $777.5K | $72.05 | 1.45x |
| 17000 | Destruction of skin growth | 10.2K | $310.5K | $30.33 | 2.10x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $165.9K | $71.31 | 1.52x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 1.0K | $135.5K | $131.34 | 1.47x |
| 10061 | Drainage of multiple abscess | 896 | $131.0K | $146.24 | 1.34x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.2K | $119.4K | $101.07 | 1.64x |
| 10060 | Drainage of abscess | 1.1K | $85.7K | $79.23 | 1.40x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.8K | $80.6K | $44.78 | 1.58x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 692 | $77.3K | $111.73 | 1.59x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 676 | $72.7K | $107.55 | 1.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $66.7K | $65.87 | 1.57x |
| 11200 | Removal of up to and including 15 skin tags | 1.4K | $66.2K | $46.22 | 1.80x |
| 17111 | Destruction of 15 or more skin growths | 703 | $61.7K | $87.78 | 1.37x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 255 | $50.3K | $197.28 | 1.44x |
| 17003 | Destruction of 2-14 skin growths | 9.9K | $47.1K | $4.74 | 1.32x |
| 11900 | Injection of up to 7 skin growths | 1.3K | $39.0K | $30.11 | 1.73x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 238 | $27.9K | $117.11 | 1.54x |
| 17271 | Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals | 174 | $15.3K | $87.84 | 1.76x |
This provider submits charges 1.49 times higher than what Medicare actually pays.
A markup ratio of 1.49x means for every $100 Medicare pays, this provider initially charges $149. This is lower 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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