This provider's $4.5M 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 | $190.27 | $95.79 | 1.99x | $94.48 | $401.7K | 6.6K | 4.7K |
| 2015 | $198.78 | $98.70 | 2.01x | $100.08 | $391.9K | 6.8K | 5.0K |
| 2016 | $194.00 | $97.90 | 1.98x | $96.10 | $422.4K | 7.7K | 5.6K |
| 2017 | $196.83 | $98.02 | 2.01x | $98.81 | $500.6K | 8.8K | 6.3K |
| 2018 | $205.00 | $101.14 | 2.03x | $103.86 | $529.3K | 9.8K | 7.0K |
| 2019 | $205.44 | $101.56 | 2.02x | $103.88 | $515.6K | 8.7K | 6.6K |
| 2020 | $192.10 | $93.34 | 2.06x | $98.76 | $430.4K | 7.5K | 5.7K |
| 2021 | $193.73 | $100.09 | 1.94x | $93.64 | $448.0K | 7.0K | 5.6K |
| 2022 | $187.97 | $92.62 | 2.03x | $95.35 | $484.3K | 7.4K | 5.8K |
| 2023 | $198.49 | $92.79 | 2.14x | $105.70 | $410.4K | 6.6K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 2.8K | $762.2K | $268.18 | 1.57x |
| 17000 | Destruction of skin growth | 13.0K | $451.1K | $34.59 | 2.95x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.2K | $417.1K | $50.95 | 1.82x |
| 17110 | Destruction of up to 14 skin growths | 5.6K | $401.2K | $71.28 | 1.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.1K | $310.5K | $76.41 | 1.69x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.6K | $286.6K | $29.97 | 2.10x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.4K | $274.8K | $61.98 | 2.32x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 2.8K | $246.7K | $86.85 | 2.59x |
| 11102 | Tangential biopsy of single skin lesion | 3.4K | $205.6K | $61.08 | 2.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.8K | $198.2K | $71.00 | 2.11x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 782 | $111.0K | $141.97 | 2.01x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 782 | $90.5K | $115.71 | 2.10x |
| 17004 | Destruction of 15 or more skin growths | 813 | $83.2K | $102.31 | 2.44x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 793 | $81.7K | $102.98 | 1.91x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 502 | $73.1K | $145.67 | 2.02x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.3K | $65.6K | $48.87 | 1.89x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 295 | $48.5K | $164.49 | 2.11x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 242 | $42.8K | $176.88 | 1.69x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 224 | $42.5K | $189.74 | 1.93x |
| 17003 | Destruction of 2-14 skin growths | 9.3K | $38.0K | $4.09 | 4.40x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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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