This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 57% 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 | $413.00 | $160.10 | 2.58x | $252.90 | $322.2K | 3.2K | 2.0K |
| 2015 | $526.36 | $160.47 | 3.28x | $365.89 | $356.8K | 3.4K | 2.2K |
| 2016 | $495.74 | $161.51 | 3.07x | $334.23 | $434.1K | 4.0K | 2.5K |
| 2017 | $477.95 | $145.76 | 3.28x | $332.19 | $366.1K | 3.6K | 2.3K |
| 2018 | $528.73 | $161.92 | 3.27x | $366.81 | $355.1K | 3.1K | 2.0K |
| 2019 | $507.76 | $164.10 | 3.09x | $343.66 | $405.7K | 3.3K | 2.1K |
| 2020 | $500.39 | $161.89 | 3.09x | $338.50 | $312.5K | 2.7K | 1.7K |
| 2021 | $479.53 | $161.56 | 2.97x | $317.97 | $369.5K | 3.0K | 1.8K |
| 2022 | $479.15 | $155.89 | 3.07x | $323.26 | $378.2K | 3.3K | 2.0K |
| 2023 | $493.87 | $171.54 | 2.88x | $322.33 | $504.2K | 3.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.6K | $685.7K | $90.78 | 2.65x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.0K | $604.7K | $576.41 | 2.57x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 869 | $483.8K | $556.72 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.1K | $246.3K | $60.69 | 2.69x |
| 17000 | Destruction of skin growth | 4.1K | $193.3K | $47.51 | 3.18x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.1K | $173.7K | $84.26 | 2.72x |
| 17004 | Destruction of 15 or more skin growths | 1.2K | $159.8K | $135.64 | 2.63x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 758 | $154.2K | $203.49 | 4.71x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 419 | $149.9K | $357.71 | 2.50x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 548 | $121.2K | $221.14 | 4.78x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 325 | $112.1K | $344.94 | 2.50x |
| Q4234 | Xcellerate, per square centimeter | 155 | $83.2K | $536.98 | 1.55x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 379 | $81.0K | $213.66 | 2.55x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 226 | $46.5K | $205.97 | 4.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 970 | $37.9K | $39.10 | 2.57x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 400 | $37.4K | $93.52 | 2.99x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 310 | $36.7K | $118.53 | 3.06x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1.1K | $35.9K | $32.47 | 3.99x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 297 | $32.3K | $108.59 | 2.99x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 158 | $28.6K | $181.19 | 4.75x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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 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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