This provider's $17.1M 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 | $506.36 | $204.48 | 2.48x | $301.88 | $1.4M | 9.0K | 6.7K |
| 2015 | $567.27 | $236.50 | 2.40x | $330.77 | $1.5M | 9.2K | 7.0K |
| 2016 | $539.76 | $223.19 | 2.42x | $316.57 | $1.7M | 8.7K | 6.8K |
| 2017 | $434.04 | $180.66 | 2.40x | $253.38 | $1.7M | 8.9K | 6.5K |
| 2018 | $444.01 | $189.82 | 2.34x | $254.19 | $1.8M | 10.5K | 6.4K |
| 2019 | $432.69 | $192.37 | 2.25x | $240.32 | $1.6M | 8.4K | 5.3K |
| 2020 | $459.18 | $205.97 | 2.23x | $253.21 | $1.6M | 8.4K | 5.1K |
| 2021 | $442.77 | $205.88 | 2.15x | $236.89 | $2.0M | 9.7K | 5.7K |
| 2022 | $425.21 | $197.24 | 2.16x | $227.97 | $1.9M | 8.9K | 6.0K |
| 2023 | $430.03 | $190.74 | 2.25x | $239.29 | $1.9M | 9.0K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 6.1K | $2.5M | $402.71 | 2.47x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 6.0K | $2.1M | $350.14 | 1.76x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 2.9K | $1.7M | $602.15 | 1.76x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.5K | $1.7M | $657.58 | 1.99x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 3.9K | $1.5M | $377.65 | 2.73x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 3.8K | $1.3M | $339.05 | 1.84x |
| 77280 | Management of radiation therapy simulation, simple | 5.1K | $1.3M | $251.94 | 1.98x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 2.0K | $909.7K | $448.59 | 2.03x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.4K | $789.8K | $59.16 | 2.22x |
| 17004 | Destruction of 15 or more skin growths | 5.5K | $717.9K | $131.07 | 2.01x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 648 | $435.9K | $672.69 | 1.97x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.0K | $371.7K | $74.93 | 2.46x |
| 11102 | Tangential biopsy of single skin lesion | 3.2K | $250.7K | $78.94 | 1.79x |
| 17110 | Destruction of up to 14 skin growths | 2.6K | $234.1K | $91.24 | 2.64x |
| 17000 | Destruction of skin growth | 5.4K | $226.2K | $41.94 | 4.59x |
| 77290 | Management of radiation therapy, simulation, complex | 448 | $200.1K | $446.64 | 2.13x |
| 77401 | Radiation treatment delivery, superficial | 6.4K | $196.7K | $30.65 | 4.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $97.5K | $77.98 | 2.96x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.5K | $94.4K | $38.36 | 2.19x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 870 | $68.1K | $78.31 | 2.79x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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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