This provider's $6.3M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
62% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 532% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $123.86 | $43.76 | 2.83x | $80.10 | $966.7K | 22.5K | 17.3K |
| 2015 | $124.54 | $43.00 | 2.90x | $81.54 | $757.0K | 19.1K | 14.9K |
| 2016 | $132.97 | $35.61 | 3.73x | $97.36 | $44.5K | 1.2K | 1.1K |
| 2017 | $115.96 | $36.05 | 3.22x | $79.91 | $281.2K | 6.1K | 4.6K |
| 2018 | $123.93 | $48.54 | 2.55x | $75.39 | $434.4K | 8.4K | 6.6K |
| 2019 | $123.22 | $53.02 | 2.32x | $70.20 | $754.2K | 12.5K | 9.6K |
| 2020 | $159.93 | $56.22 | 2.84x | $103.71 | $747.6K | 13.1K | 10.1K |
| 2021 | $187.02 | $59.54 | 3.14x | $127.48 | $725.2K | 12.3K | 9.3K |
| 2022 | $166.92 | $56.24 | 2.97x | $110.68 | $779.1K | 13.3K | 9.8K |
| 2023 | $176.34 | $59.93 | 2.94x | $116.41 | $815.4K | 13.9K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 82.9K | $3.9M | $46.71 | 2.48x |
| 88342 | Tissue or cell analysis by immunologic technique | 11.5K | $838.9K | $72.98 | 1.87x |
| 88341 | Special stained specimen slides to examine tissue | 10.6K | $682.0K | $64.42 | 1.72x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 2.8K | $194.2K | $69.10 | 1.93x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 3.7K | $109.0K | $29.30 | 2.46x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.6K | $97.4K | $60.98 | 2.24x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $95.2K | $79.11 | 2.90x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $76.6K | $52.97 | 3.14x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 999 | $50.7K | $50.78 | 2.12x |
| 88346 | Antibody evaluation | 470 | $45.9K | $97.73 | 1.82x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 969 | $41.1K | $42.43 | 2.19x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 577 | $40.7K | $70.59 | 3.05x |
| 88350 | Antibody evaluation | 352 | $27.7K | $78.57 | 1.78x |
| 17000 | Destruction of skin growth | 674 | $27.1K | $40.16 | 4.55x |
| 11102 | Tangential biopsy of single skin lesion | 349 | $20.6K | $59.01 | 4.01x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 148 | $16.2K | $109.77 | 3.31x |
| 17110 | Destruction of up to 14 skin growths | 175 | $12.8K | $73.13 | 4.10x |
| 11100 | Biopsy of single growth of skin and/or tissue | 192 | $9.5K | $49.66 | 3.54x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 140 | $7.7K | $55.27 | 2.73x |
| 96900 | Application of ultraviolet light to skin | 401 | $7.0K | $17.48 | 3.77x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data