This provider's $6.9M 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.
Notable: Payments increased 53% in 2018
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 | $210.43 | $123.61 | 1.70x | $86.82 | $643.3K | 12.0K | 6.2K |
| 2015 | $144.01 | $86.09 | 1.67x | $57.92 | $510.6K | 11.1K | 5.8K |
| 2016 | $146.54 | $90.56 | 1.62x | $55.98 | $507.3K | 10.8K | 5.6K |
| 2017 | $249.08 | $116.67 | 2.13x | $132.41 | $556.7K | 10.7K | 5.9K |
| 2018 | $378.17 | $140.44 | 2.69x | $237.73 | $854.3K | 12.1K | 6.3K |
| 2019 | $394.34 | $153.43 | 2.57x | $240.91 | $836.1K | 11.1K | 6.2K |
| 2020 | $392.42 | $150.49 | 2.61x | $241.93 | $628.8K | 7.9K | 4.6K |
| 2021 | $405.20 | $153.14 | 2.65x | $252.06 | $671.4K | 8.7K | 5.0K |
| 2022 | $418.00 | $150.44 | 2.78x | $267.56 | $727.5K | 9.1K | 5.3K |
| 2023 | $424.59 | $151.35 | 2.81x | $273.24 | $952.5K | 10.4K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.7K | $1.1M | $86.54 | 2.34x |
| 17000 | Destruction of skin growth | 22.4K | $1.0M | $46.52 | 2.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.5K | $988.6K | $59.87 | 1.90x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.4K | $783.9K | $571.36 | 2.16x |
| 17004 | Destruction of 15 or more skin growths | 2.0K | $259.5K | $128.17 | 2.06x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 650 | $233.4K | $359.07 | 2.09x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 406 | $225.2K | $554.62 | 2.17x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 5.8K | $195.0K | $33.69 | 2.20x |
| 17110 | Destruction of up to 14 skin growths | 1.8K | $160.1K | $89.09 | 2.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $138.6K | $79.97 | 2.35x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 1.4K | $131.2K | $93.03 | 2.27x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 1.1K | $123.6K | $112.86 | 2.12x |
| 11310 | Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth | 1.3K | $122.4K | $90.77 | 2.22x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.2K | $113.8K | $97.04 | 2.41x |
| 17003 | Destruction of 2-14 skin growths | 20.1K | $112.2K | $5.59 | 2.48x |
| 11100 | Biopsy of single growth of skin and/or tissue | 982 | $81.1K | $82.61 | 1.97x |
| 11300 | Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs | 1.0K | $71.5K | $69.64 | 2.35x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 697 | $67.1K | $96.23 | 2.27x |
| 11102 | Tangential biopsy of single skin lesion | 838 | $65.3K | $77.93 | 2.61x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 180 | $62.5K | $347.11 | 2.17x |
This provider submits charges 2.3 times higher than what Medicare actually pays.
A markup ratio of 2.3x means for every $100 Medicare pays, this provider initially charges $230. 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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