This provider's $5.1M in total Medicare payments ranks in the 98th 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.
Notable: Payments increased 69% in 2023
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 | $268.35 | $117.21 | 2.29x | $151.14 | $481.2K | 6.3K | 5.0K |
| 2015 | $344.26 | $170.21 | 2.02x | $174.05 | $522.0K | 6.0K | 4.7K |
| 2016 | $396.23 | $197.26 | 2.01x | $198.97 | $684.2K | 6.9K | 5.5K |
| 2017 | $517.05 | $208.07 | 2.48x | $308.98 | $623.0K | 6.4K | 5.1K |
| 2018 | $537.75 | $186.37 | 2.89x | $351.38 | $599.7K | 6.4K | 5.2K |
| 2019 | $464.69 | $164.66 | 2.82x | $300.03 | $592.8K | 7.1K | 5.6K |
| 2020 | $491.23 | $179.89 | 2.73x | $311.34 | $372.7K | 4.1K | 3.4K |
| 2021 | $404.78 | $153.00 | 2.65x | $251.78 | $387.9K | 3.7K | 2.9K |
| 2022 | $361.73 | $144.09 | 2.51x | $217.64 | $324.6K | 3.2K | 2.5K |
| 2023 | $355.34 | $172.84 | 2.06x | $182.50 | $547.4K | 5.2K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 13.0K | $1.5M | $116.32 | 2.07x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.9K | $600.0K | $55.01 | 1.97x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.3K | $533.1K | $418.78 | 2.88x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 682 | $290.1K | $425.37 | 2.55x |
| 17000 | Destruction of skin growth | 4.7K | $221.8K | $47.19 | 2.30x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $149.4K | $74.79 | 1.94x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 654 | $144.4K | $220.80 | 4.53x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4.8K | $140.8K | $29.59 | 6.39x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 523 | $116.2K | $222.26 | 3.52x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.0K | $100.0K | $98.55 | 2.17x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 125 | $99.7K | $797.53 | 2.26x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 369 | $94.4K | $255.80 | 1.96x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 404 | $91.1K | $225.39 | 2.59x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.6K | $84.7K | $31.99 | 2.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 866 | $78.0K | $90.06 | 1.66x |
| 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 | 89 | $63.9K | $717.65 | 2.02x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 744 | $61.1K | $82.10 | 2.21x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 95 | $58.3K | $614.06 | 2.29x |
| 11312 | Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 521 | $58.0K | $111.35 | 1.81x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 557 | $57.6K | $103.42 | 2.76x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. 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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