This provider's $6.4M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 192% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 106% in 2022
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $293.86 | $161.55 | 1.82x | $132.31 | $490.8K | 6.1K | 5.0K |
| 2015 | $351.25 | $158.60 | 2.21x | $192.65 | $537.1K | 6.4K | 5.2K |
| 2016 | $377.48 | $165.69 | 2.28x | $211.79 | $564.2K | 7.0K | 5.6K |
| 2017 | $394.49 | $172.37 | 2.29x | $222.12 | $688.2K | 8.4K | 6.7K |
| 2018 | $311.98 | $134.96 | 2.31x | $177.02 | $495.2K | 6.8K | 5.4K |
| 2019 | $356.52 | $148.02 | 2.41x | $208.50 | $468.8K | 6.0K | 4.9K |
| 2020 | $368.49 | $156.19 | 2.36x | $212.30 | $444.5K | 5.1K | 4.3K |
| 2021 | $302.00 | $156.39 | 1.93x | $145.61 | $405.4K | 4.6K | 4.0K |
| 2022 | $294.21 | $157.14 | 1.87x | $137.07 | $835.2K | 7.5K | 3.7K |
| 2023 | $269.73 | $130.20 | 2.07x | $139.53 | $1.4M | 12.1K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 3.6K | $769.3K | $211.12 | 1.62x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.9K | $695.9K | $366.68 | 2.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.9K | $563.4K | $51.84 | 2.17x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 3.8K | $529.0K | $140.48 | 1.85x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 549 | $323.3K | $588.95 | 1.88x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.4K | $317.2K | $234.58 | 1.70x |
| 17000 | Destruction of skin growth | 8.1K | $302.7K | $37.45 | 2.64x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.5K | $242.1K | $69.20 | 2.23x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 658 | $204.4K | $310.71 | 1.84x |
| 17110 | Destruction of up to 14 skin growths | 2.4K | $184.6K | $77.96 | 2.07x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 286 | $172.9K | $604.66 | 1.90x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 770 | $162.9K | $211.50 | 2.05x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.7K | $146.3K | $31.42 | 2.17x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.4K | $138.7K | $96.35 | 2.08x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 246 | $131.5K | $534.52 | 1.93x |
| 11102 | Tangential biopsy of single skin lesion | 1.9K | $127.0K | $65.50 | 1.98x |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 3.5K | $112.0K | $32.04 | 1.87x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 2.1K | $97.7K | $46.98 | 2.36x |
| 77427 | Radiation treatment management, 5 treatment sessions | 610 | $92.2K | $151.19 | 1.62x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 231 | $88.3K | $382.22 | 2.37x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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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