This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 1835% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 257% 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 | $289.11 | $80.53 | 3.59x | $208.58 | $48.3K | 1.2K | 1.0K |
| 2015 | $377.53 | $109.38 | 3.45x | $268.15 | $64.8K | 1.2K | 1.1K |
| 2016 | $444.47 | $166.46 | 2.67x | $278.01 | $194.5K | 1.7K | 1.5K |
| 2017 | $367.42 | $174.79 | 2.10x | $192.63 | $115.5K | 1.4K | 1.1K |
| 2018 | $758.61 | $345.64 | 2.19x | $412.97 | $411.9K | 1.3K | 1.1K |
| 2019 | $1.1K | $396.05 | 2.76x | $695.13 | $908.4K | 2.3K | 1.9K |
| 2020 | $1.2K | $404.97 | 2.89x | $763.62 | $816.2K | 2.0K | 1.7K |
| 2021 | $1.0K | $378.94 | 2.68x | $636.51 | $875.2K | 2.3K | 2.0K |
| 2022 | $874.66 | $296.76 | 2.95x | $577.90 | $1.0M | 2.8K | 2.4K |
| 2023 | $878.41 | $301.55 | 2.91x | $576.86 | $934.8K | 2.8K | 2.3K |
| 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) | 3.0K | $1.1M | $367.89 | 3.83x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.2K | $767.3K | $344.86 | 2.39x |
| 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 | 802 | $605.4K | $754.87 | 2.59x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 712 | $424.9K | $596.71 | 2.63x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 520 | $373.9K | $719.12 | 2.40x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 787 | $284.7K | $361.80 | 3.46x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 426 | $263.2K | $617.94 | 2.70x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 242 | $220.1K | $909.35 | 2.50x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 238 | $194.1K | $815.71 | 2.73x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 504 | $169.2K | $335.62 | 2.27x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 176 | $98.5K | $559.42 | 2.51x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 418 | $92.9K | $222.21 | 4.45x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 365 | $88.6K | $242.81 | 2.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $84.7K | $54.78 | 2.53x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 117 | $78.8K | $673.44 | 2.23x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 342 | $73.9K | $216.01 | 3.79x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 80 | $64.7K | $808.46 | 2.51x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 131 | $40.7K | $310.94 | 2.25x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 108 | $36.2K | $335.58 | 2.61x |
| 17004 | Destruction of 15 or more skin growths | 481 | $32.8K | $68.21 | 4.33x |
This provider submits charges 2.93 times higher than what Medicare actually pays.
A markup ratio of 2.93x means for every $100 Medicare pays, this provider initially charges $293. 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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