This provider averages 88 services per working day
Based on 221.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.5M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 88 services per working day raises questions about billing patterns.
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 | $246.38 | $146.77 | 1.68x | $99.61 | $1.4M | 24.8K | 13.7K |
| 2015 | $238.43 | $145.33 | 1.64x | $93.10 | $1.4M | 23.9K | 13.3K |
| 2016 | $241.30 | $148.75 | 1.62x | $92.55 | $1.4M | 25.0K | 13.5K |
| 2017 | $264.58 | $167.08 | 1.58x | $97.50 | $1.4M | 24.2K | 12.9K |
| 2018 | $223.87 | $137.73 | 1.63x | $86.14 | $1.4M | 23.6K | 12.8K |
| 2019 | $225.69 | $142.81 | 1.58x | $82.88 | $1.3M | 21.6K | 11.9K |
| 2020 | $239.44 | $160.13 | 1.50x | $79.31 | $1.1M | 17.5K | 10.2K |
| 2021 | $224.42 | $146.49 | 1.53x | $77.93 | $1.3M | 20.0K | 11.0K |
| 2022 | $236.56 | $149.49 | 1.58x | $87.07 | $1.3M | 20.3K | 11.4K |
| 2023 | $239.71 | $145.83 | 1.64x | $93.88 | $1.3M | 20.4K | 11.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 38.0K | $2.4M | $62.02 | 1.51x |
| 17110 | Destruction of up to 14 skin growths | 15.3K | $1.5M | $98.04 | 1.37x |
| 11100 | Biopsy of single growth of skin and/or tissue | 16.5K | $1.2M | $72.63 | 1.71x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 36.2K | $1.0M | $28.27 | 1.55x |
| 17004 | Destruction of 15 or more skin growths | 6.9K | $924.6K | $133.92 | 1.56x |
| 11102 | Tangential biopsy of single skin lesion | 12.8K | $912.9K | $71.20 | 1.84x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.1K | $906.1K | $421.64 | 1.50x |
| 17000 | Destruction of skin growth | 23.6K | $765.7K | $32.38 | 2.94x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.7K | $626.6K | $376.33 | 1.35x |
| 11103 | Tangential biopsy of additional skin lesion | 8.5K | $409.1K | $48.38 | 1.57x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 11.8K | $332.2K | $28.16 | 1.51x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 907 | $315.6K | $347.95 | 1.34x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.9K | $259.8K | $134.07 | 2.43x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.9K | $249.4K | $36.31 | 1.47x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $173.0K | $82.17 | 1.68x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 379 | $168.2K | $443.74 | 1.40x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.1K | $146.8K | $131.35 | 2.49x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.2K | $141.1K | $119.15 | 2.43x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 210 | $140.5K | $669.00 | 1.29x |
| 17003 | Destruction of 2-14 skin growths | 22.4K | $120.9K | $5.40 | 2.48x |
This provider submits charges 1.68 times higher than what Medicare actually pays.
A markup ratio of 1.68x means for every $100 Medicare pays, this provider initially charges $168. 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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