This provider's $5.6M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Their average markup ratio of 5.73x is significantly above the specialty median of 2.8x.
Medicare payments to this provider grew 877% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 354% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $491.12 | $146.79 | 3.35x | $344.33 | $128.6K | 983 | 920 |
| 2018 | $549.18 | $163.47 | 3.36x | $385.71 | $583.6K | 4.0K | 3.3K |
| 2019 | $875.66 | $256.10 | 3.42x | $619.56 | $1.0M | 4.6K | 3.9K |
| 2020 | $1.5K | $241.01 | 6.16x | $1.2K | $794.8K | 3.6K | 3.1K |
| 2021 | $1.8K | $277.44 | 6.32x | $1.5K | $812.9K | 2.8K | 2.4K |
| 2022 | $1.7K | $250.67 | 6.62x | $1.4K | $951.4K | 3.8K | 3.2K |
| 2023 | $1.5K | $219.59 | 6.72x | $1.3K | $1.3M | 4.7K | 4.1K |
| 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) | 4.7K | $2.0M | $418.98 | 5.82x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.1K | $521.9K | $458.62 | 5.28x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $504.9K | $315.77 | 4.55x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 471 | $364.0K | $772.82 | 4.98x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.7K | $317.7K | $190.46 | 10.39x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 276 | $214.2K | $776.25 | 5.44x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 270 | $199.7K | $739.65 | 5.41x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 774 | $141.0K | $182.12 | 7.83x |
| 88331 | Pathology examination of tissue during surgery | 1.5K | $107.5K | $74.03 | 5.26x |
| 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 | 138 | $101.8K | $737.54 | 5.25x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 126 | $91.9K | $729.72 | 5.09x |
| 11102 | Tangential biopsy of single skin lesion | 1.5K | $84.0K | $56.64 | 5.00x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 529 | $83.2K | $157.20 | 5.56x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 128 | $78.5K | $613.25 | 4.24x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $76.6K | $54.96 | 2.97x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 100 | $59.4K | $593.63 | 5.17x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 277 | $53.3K | $192.47 | 5.45x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 173 | $52.6K | $304.16 | 5.03x |
| 11100 | Biopsy of single growth of skin and/or tissue | 657 | $36.0K | $54.83 | 3.72x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.0K | $34.3K | $33.43 | 3.09x |
This provider submits charges 5.73 times higher than what Medicare actually pays.
A markup ratio of 5.73x means for every $100 Medicare pays, this provider initially charges $573. This is higher 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Thi Tran, DO | The Villages, FL | $37.6M | ✓ Clear |
| Neil Sandhu, MD | Orange City, FL | $36.2M | ✓ Clear |
| David Casper, M.D. | The Villages, FL | $35.4M | ✓ 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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