This provider's $8.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $248.47 | $92.38 | 2.69x | $156.09 | $1.1M | 14.6K | 9.8K |
| 2015 | $315.61 | $93.20 | 3.39x | $222.41 | $1.1M | 14.9K | 10.0K |
| 2016 | $406.42 | $93.56 | 4.34x | $312.86 | $1.1M | 14.5K | 10.1K |
| 2017 | $409.59 | $91.69 | 4.47x | $317.90 | $981.0K | 13.9K | 10.2K |
| 2018 | $410.69 | $88.12 | 4.66x | $322.57 | $774.3K | 13.9K | 9.9K |
| 2019 | $419.36 | $90.91 | 4.61x | $328.45 | $930.1K | 14.5K | 9.9K |
| 2020 | $496.23 | $106.68 | 4.65x | $389.55 | $763.1K | 11.7K | 8.2K |
| 2021 | $418.41 | $83.50 | 5.01x | $334.91 | $651.7K | 10.2K | 7.0K |
| 2022 | $409.91 | $82.10 | 4.99x | $327.81 | $590.7K | 9.5K | 6.5K |
| 2023 | $479.84 | $89.43 | 5.37x | $390.41 | $493.5K | 7.8K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 58.4K | $2.8M | $47.83 | 3.18x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.4K | $1.1M | $242.51 | 4.04x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.5K | $468.9K | $185.93 | 4.18x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.9K | $418.5K | $222.23 | 1.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.8K | $392.7K | $50.12 | 1.85x |
| 11644 | Removal of malignant growth (3.1 to 4.0 centimeters) of the face, ears, eyelids, nose, or lips | 2.9K | $335.2K | $115.27 | 9.19x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 4.1K | $248.0K | $60.19 | 4.56x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 2.6K | $228.0K | $86.25 | 6.65x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.6K | $222.0K | $29.32 | 2.50x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 693 | $192.0K | $277.03 | 3.93x |
| 11624 | Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals | 1.9K | $183.7K | $97.19 | 9.69x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 3.0K | $176.0K | $57.72 | 4.01x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.0K | $170.4K | $168.53 | 4.20x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 1.9K | $159.2K | $85.76 | 3.33x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 2.4K | $154.3K | $64.97 | 3.89x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.0K | $149.1K | $49.49 | 2.99x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.4K | $132.3K | $97.35 | 1.91x |
| 11606 | Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs | 370 | $93.7K | $253.36 | 3.09x |
| 11102 | Tangential biopsy of single skin lesion | 1.9K | $85.8K | $45.87 | 4.23x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 721 | $82.6K | $114.55 | 2.87x |
This provider submits charges 3.83 times higher than what Medicare actually pays.
A markup ratio of 3.83x means for every $100 Medicare pays, this provider initially charges $383. 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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