This provider's $5.8M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 1653% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 115% in 2021
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 | $244.84 | $71.92 | 3.40x | $172.92 | $78.2K | 1.3K | 981 |
| 2015 | $235.21 | $73.42 | 3.20x | $161.79 | $140.5K | 1.9K | 1.5K |
| 2016 | $239.33 | $82.83 | 2.89x | $156.50 | $220.3K | 2.9K | 2.1K |
| 2017 | $203.33 | $62.10 | 3.27x | $141.23 | $262.5K | 3.6K | 2.5K |
| 2018 | $384.77 | $155.63 | 2.47x | $229.14 | $409.4K | 4.7K | 3.3K |
| 2019 | $369.34 | $160.40 | 2.30x | $208.94 | $548.8K | 5.7K | 3.9K |
| 2020 | $312.90 | $120.03 | 2.61x | $192.87 | $507.9K | 5.6K | 3.7K |
| 2021 | $464.52 | $174.63 | 2.66x | $289.89 | $1.1M | 8.8K | 5.4K |
| 2022 | $472.41 | $175.57 | 2.69x | $296.84 | $1.2M | 9.5K | 5.8K |
| 2023 | $428.09 | $167.09 | 2.56x | $261.00 | $1.4M | 11.0K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.1K | $1.8M | $106.00 | 2.12x |
| 17004 | Destruction of 15 or more skin growths | 7.1K | $1.1M | $152.40 | 2.97x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 570 | $344.7K | $604.75 | 1.65x |
| 11102 | Tangential biopsy of single skin lesion | 3.4K | $318.9K | $92.77 | 3.06x |
| 17000 | Destruction of skin growth | 6.2K | $313.2K | $50.46 | 3.46x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 347 | $220.6K | $635.68 | 1.89x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $214.2K | $145.91 | 1.88x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 530 | $198.7K | $374.91 | 1.87x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 615 | $168.9K | $274.69 | 2.18x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.8K | $165.7K | $90.41 | 2.72x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.6K | $136.6K | $87.70 | 2.59x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 293 | $116.2K | $396.44 | 1.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $100.4K | $62.07 | 2.10x |
| 10061 | Drainage of multiple abscess | 427 | $85.8K | $200.96 | 2.24x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 277 | $62.6K | $225.88 | 4.43x |
| 11103 | Tangential biopsy of additional skin lesion | 1.0K | $51.7K | $50.72 | 1.97x |
| 17110 | Destruction of up to 14 skin growths | 473 | $44.4K | $93.88 | 2.93x |
| 67810 | Biopsy of eyelid | 223 | $37.9K | $169.90 | 2.21x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 143 | $33.5K | $234.05 | 4.27x |
| 10060 | Drainage of abscess | 302 | $33.3K | $110.35 | 2.26x |
This provider submits charges 2.52 times higher than what Medicare actually pays.
A markup ratio of 2.52x means for every $100 Medicare pays, this provider initially charges $252. 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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