This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 73% 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 | $792.27 | $167.08 | 4.74x | $625.19 | $349.5K | 4.3K | 3.7K |
| 2015 | $687.65 | $151.33 | 4.54x | $536.32 | $504.4K | 5.8K | 5.0K |
| 2016 | $645.49 | $139.04 | 4.64x | $506.45 | $408.0K | 5.6K | 4.8K |
| 2017 | $646.97 | $138.46 | 4.67x | $508.51 | $395.4K | 5.3K | 4.5K |
| 2018 | $656.73 | $142.28 | 4.62x | $514.45 | $446.8K | 5.6K | 4.7K |
| 2019 | $674.62 | $154.35 | 4.37x | $520.27 | $536.4K | 6.5K | 5.4K |
| 2020 | $691.50 | $153.08 | 4.52x | $538.42 | $409.0K | 4.9K | 4.1K |
| 2021 | $681.61 | $154.47 | 4.41x | $527.14 | $498.3K | 5.0K | 4.4K |
| 2022 | $660.22 | $142.93 | 4.62x | $517.29 | $560.2K | 5.7K | 4.9K |
| 2023 | $655.41 | $141.76 | 4.62x | $513.65 | $604.1K | 6.6K | 5.7K |
| 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) | 2.3K | $1.0M | $444.26 | 4.16x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.9K | $648.2K | $50.41 | 3.97x |
| 17110 | Destruction of up to 14 skin growths | 4.8K | $355.5K | $74.21 | 4.11x |
| 17004 | Destruction of 15 or more skin growths | 2.4K | $267.3K | $111.10 | 4.32x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 5.8K | $258.9K | $44.74 | 4.58x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.2K | $244.1K | $195.90 | 8.49x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 766 | $193.9K | $253.08 | 4.90x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 255 | $193.5K | $758.93 | 3.69x |
| 17000 | Destruction of skin growth | 5.4K | $192.1K | $35.63 | 6.32x |
| 11102 | Tangential biopsy of single skin lesion | 2.7K | $172.6K | $63.37 | 4.69x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.3K | $160.9K | $69.81 | 4.30x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.4K | $158.8K | $65.47 | 4.43x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 394 | $117.3K | $297.63 | 3.70x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 225 | $103.6K | $460.29 | 3.67x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 307 | $88.2K | $287.32 | 3.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $78.1K | $72.49 | 4.14x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.7K | $61.2K | $35.05 | 3.43x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 272 | $56.0K | $205.75 | 4.11x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 410 | $43.9K | $106.98 | 7.34x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 156 | $30.3K | $194.33 | 8.13x |
This provider submits charges 4.57 times higher than what Medicare actually pays.
A markup ratio of 4.57x means for every $100 Medicare pays, this provider initially charges $457. 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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