This provider averages 53 services per working day
Based on 132.2K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $12.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 626% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1304% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $189.97 | $48.29 | 3.93x | $141.68 | $307.9K | 6.7K | 5.7K |
| 2015 | $165.17 | $37.15 | 4.45x | $128.02 | $271.7K | 5.9K | 5.0K |
| 2016 | $213.30 | $65.77 | 3.24x | $147.53 | $355.3K | 7.2K | 6.2K |
| 2017 | $198.86 | $42.20 | 4.71x | $156.66 | $208.0K | 5.0K | 4.4K |
| 2018 | $178.19 | $58.19 | 3.06x | $120.00 | $162.1K | 3.9K | 3.2K |
| 2019 | $252.85 | $108.09 | 2.34x | $144.76 | $2.3M | 24.0K | 3.1K |
| 2020 | $278.81 | $126.29 | 2.21x | $152.52 | $2.3M | 21.7K | 2.9K |
| 2021 | $297.20 | $136.13 | 2.18x | $161.07 | $2.4M | 19.7K | 2.5K |
| 2022 | $293.58 | $125.74 | 2.33x | $167.84 | $2.4M | 19.5K | 2.5K |
| 2023 | $288.01 | $125.06 | 2.30x | $162.95 | $2.2M | 18.5K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 29.1K | $6.1M | $208.72 | 2.16x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 30.8K | $3.3M | $106.47 | 2.32x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 16.6K | $860.8K | $51.98 | 4.81x |
| 77401 | Radiation treatment delivery, superficial | 28.1K | $722.6K | $25.71 | 2.60x |
| 77427 | Radiation treatment management, 5 treatments | 4.4K | $647.9K | $148.27 | 1.93x |
| 77336 | Radiation therapy consultation per week | 4.6K | $277.2K | $60.89 | 1.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $163.2K | $56.13 | 2.34x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.1K | $110.5K | $97.72 | 1.96x |
| 77285 | Management of radiation therapy, simulation, intermediate | 258 | $88.6K | $343.32 | 1.95x |
| 77300 | Calculation of radiation therapy dose | 1.7K | $84.0K | $50.82 | 2.18x |
| 88342 | Tissue or cell analysis by immunologic technique | 2.7K | $75.4K | $27.80 | 5.41x |
| 77261 | Management of radiation therapy, simple | 1.1K | $62.2K | $54.12 | 3.83x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 1.7K | $53.9K | $31.27 | 4.80x |
| 77290 | Management of radiation therapy, simulation, complex | 117 | $43.1K | $368.67 | 2.10x |
| 88341 | Special stained specimen slides to examine tissue | 1.5K | $32.2K | $21.07 | 7.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 391 | $28.5K | $72.88 | 2.64x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 882 | $23.4K | $26.48 | 3.26x |
| 11100 | Biopsy of single growth of skin and/or tissue | 352 | $21.5K | $61.00 | 4.10x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 436 | $20.1K | $46.15 | 3.25x |
| 17000 | Destruction of skin growth | 546 | $19.5K | $35.70 | 4.14x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. 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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