This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 662% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 143% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $826.73 | $259.55 | 3.19x | $567.18 | $177.7K | 565 | 525 |
| 2016 | $961.31 | $310.87 | 3.09x | $650.44 | $431.1K | 1.1K | 1.1K |
| 2017 | $763.12 | $242.56 | 3.15x | $520.56 | $717.8K | 2.2K | 1.9K |
| 2018 | $885.12 | $297.35 | 2.98x | $587.77 | $641.9K | 1.9K | 1.7K |
| 2019 | $775.84 | $261.18 | 2.97x | $514.66 | $635.7K | 2.0K | 1.8K |
| 2020 | $711.09 | $236.70 | 3.00x | $474.39 | $983.5K | 3.0K | 2.8K |
| 2021 | $866.11 | $298.92 | 2.90x | $567.19 | $1.2M | 3.7K | 3.3K |
| 2022 | $897.38 | $287.78 | 3.12x | $609.60 | $1.2M | 3.8K | 3.4K |
| 2023 | $921.38 | $308.63 | 2.99x | $612.75 | $1.4M | 4.2K | 3.7K |
| 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) | 5.8K | $3.1M | $536.92 | 2.83x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.8K | $991.1K | $557.43 | 2.63x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.2K | $811.2K | $366.71 | 2.48x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.3K | $500.3K | $219.24 | 5.72x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 459 | $416.2K | $906.65 | 2.47x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 379 | $263.4K | $695.04 | 2.63x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 786 | $185.0K | $235.31 | 3.93x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 402 | $142.7K | $354.98 | 2.47x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 437 | $121.7K | $278.39 | 2.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $119.2K | $93.35 | 3.81x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $114.0K | $76.80 | 3.56x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 353 | $81.6K | $231.03 | 5.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 475 | $63.9K | $134.51 | 3.07x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $52.5K | $40.55 | 3.62x |
| 88342 | Tissue or cell analysis by immunologic technique | 474 | $44.3K | $93.41 | 2.41x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 46 | $41.5K | $903.14 | 2.31x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 61 | $40.4K | $661.80 | 2.52x |
| 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 | 48 | $38.5K | $801.11 | 2.78x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 282 | $34.8K | $123.35 | 4.19x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 120 | $28.1K | $234.54 | 3.39x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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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