This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 81% from 2014 to 2023.
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 | $498.82 | $251.21 | 1.99x | $247.61 | $674.4K | 6.6K | 4.6K |
| 2015 | $465.58 | $235.60 | 1.98x | $229.98 | $793.8K | 7.9K | 5.7K |
| 2016 | $445.12 | $238.87 | 1.86x | $206.25 | $910.0K | 9.6K | 7.1K |
| 2017 | $420.27 | $220.33 | 1.91x | $199.94 | $962.5K | 9.5K | 7.0K |
| 2018 | $355.16 | $231.88 | 1.53x | $123.28 | $1.1M | 10.1K | 7.4K |
| 2019 | $354.06 | $232.12 | 1.53x | $121.94 | $1.1M | 10.5K | 7.6K |
| 2020 | $386.80 | $247.24 | 1.56x | $139.56 | $1.1M | 9.2K | 6.7K |
| 2021 | $375.45 | $245.31 | 1.53x | $130.14 | $1.1M | 10.2K | 7.3K |
| 2022 | $350.91 | $225.24 | 1.56x | $125.67 | $1.1M | 9.1K | 6.8K |
| 2023 | $347.14 | $223.56 | 1.55x | $123.58 | $1.2M | 9.1K | 6.7K |
| 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) | 4.3K | $1.3M | $311.74 | 2.63x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.6K | $1.0M | $624.90 | 1.47x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.7K | $906.4K | $336.94 | 1.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.5K | $821.3K | $56.64 | 1.72x |
| 17000 | Destruction of skin growth | 16.0K | $626.2K | $39.06 | 2.18x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.7K | $445.4K | $78.72 | 1.70x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 656 | $413.9K | $630.99 | 1.52x |
| 17110 | Destruction of up to 14 skin growths | 4.5K | $391.9K | $86.72 | 1.60x |
| 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 | 498 | $385.6K | $774.31 | 1.51x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 627 | $358.4K | $571.63 | 1.45x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 359 | $297.8K | $829.48 | 1.46x |
| 11102 | Tangential biopsy of single skin lesion | 4.0K | $286.4K | $71.13 | 1.65x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.7K | $277.7K | $74.87 | 1.86x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4.5K | $268.5K | $59.05 | 1.53x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 713 | $247.2K | $346.76 | 2.19x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 758 | $211.4K | $278.86 | 1.42x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 880 | $209.7K | $238.32 | 1.56x |
| 17004 | Destruction of 15 or more skin growths | 1.4K | $171.9K | $123.30 | 1.56x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 489 | $159.8K | $326.85 | 1.42x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 225 | $159.6K | $709.32 | 1.50x |
This provider submits charges 1.79 times higher than what Medicare actually pays.
A markup ratio of 1.79x means for every $100 Medicare pays, this provider initially charges $179. This is lower 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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