This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 329% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 269% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $866.29 | $232.20 | 3.73x | $634.09 | $357.5K | 2.0K | 1.8K |
| 2019 | $769.24 | $202.31 | 3.80x | $566.93 | $1.3M | 6.8K | 5.4K |
| 2020 | $773.70 | $206.98 | 3.74x | $566.72 | $1.4M | 6.6K | 5.1K |
| 2021 | $785.65 | $212.12 | 3.70x | $573.53 | $1.7M | 7.8K | 6.1K |
| 2022 | $856.24 | $226.03 | 3.79x | $630.21 | $1.7M | 7.5K | 5.8K |
| 2023 | $1.1K | $239.24 | 4.61x | $863.51 | $1.5M | 6.6K | 5.1K |
| 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) | 7.1K | $2.9M | $414.44 | 4.01x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.1K | $942.9K | $306.94 | 3.18x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 781 | $591.0K | $756.74 | 3.36x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.3K | $548.4K | $425.10 | 3.72x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.9K | $537.4K | $184.93 | 6.43x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 452 | $339.6K | $751.35 | 3.34x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 342 | $196.9K | $575.80 | 3.38x |
| 11102 | Tangential biopsy of single skin lesion | 3.7K | $193.6K | $51.83 | 4.77x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 221 | $182.9K | $827.49 | 3.25x |
| 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 | 255 | $178.5K | $700.09 | 3.35x |
| 88331 | Pathology examination of tissue during surgery | 2.3K | $175.0K | $77.10 | 3.17x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 884 | $162.8K | $184.20 | 5.72x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $140.8K | $55.75 | 3.43x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 351 | $103.3K | $294.44 | 3.23x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 484 | $85.9K | $177.50 | 4.36x |
| 17000 | Destruction of skin growth | 2.4K | $75.4K | $31.63 | 5.19x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 380 | $73.7K | $194.00 | 6.41x |
| 11103 | Tangential biopsy of additional skin lesion | 1.5K | $57.4K | $39.47 | 3.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.4K | $46.9K | $33.71 | 3.47x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 172 | $33.8K | $196.54 | 4.84x |
This provider submits charges 3.99 times higher than what Medicare actually pays.
A markup ratio of 3.99x means for every $100 Medicare pays, this provider initially charges $399. 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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