This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 92% 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 | $299.55 | $84.44 | 3.55x | $215.11 | $335.1K | 5.7K | 4.5K |
| 2015 | $295.48 | $83.39 | 3.54x | $212.09 | $438.1K | 7.3K | 5.8K |
| 2016 | $298.47 | $83.83 | 3.56x | $214.64 | $465.2K | 8.2K | 6.5K |
| 2017 | $293.29 | $85.33 | 3.44x | $207.96 | $513.8K | 8.4K | 6.6K |
| 2018 | $290.66 | $85.07 | 3.42x | $205.59 | $530.7K | 8.6K | 7.0K |
| 2019 | $289.87 | $85.89 | 3.37x | $203.98 | $562.5K | 9.0K | 7.2K |
| 2020 | $304.73 | $89.36 | 3.41x | $215.37 | $568.7K | 8.9K | 7.1K |
| 2021 | $303.25 | $90.75 | 3.34x | $212.50 | $650.8K | 9.3K | 7.3K |
| 2022 | $332.52 | $88.42 | 3.76x | $244.10 | $655.4K | 9.9K | 7.6K |
| 2023 | $346.05 | $89.19 | 3.88x | $256.86 | $642.7K | 9.8K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.5K | $959.6K | $71.07 | 2.89x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.6K | $791.7K | $217.09 | 2.89x |
| 17000 | Destruction of skin growth | 16.0K | $573.2K | $35.83 | 4.82x |
| 11102 | Tangential biopsy of single skin lesion | 6.3K | $449.2K | $71.33 | 3.06x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.6K | $349.1K | $216.27 | 3.21x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.0K | $349.0K | $70.12 | 3.07x |
| 17004 | Destruction of 15 or more skin growths | 2.5K | $270.8K | $107.81 | 3.90x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 2.2K | $201.9K | $92.05 | 5.77x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 945 | $201.6K | $213.32 | 3.16x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.6K | $158.4K | $100.46 | 5.21x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 1.6K | $151.0K | $95.06 | 5.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $144.9K | $50.69 | 2.56x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.4K | $126.6K | $52.31 | 4.59x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.3K | $122.9K | $28.74 | 3.52x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $121.7K | $62.19 | 3.22x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 325 | $83.6K | $257.19 | 1.73x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.4K | $59.4K | $42.95 | 2.81x |
| 17003 | Destruction of 2-14 skin growths | 12.8K | $53.3K | $4.17 | 9.58x |
| 17110 | Destruction of up to 14 skin growths | 515 | $37.8K | $73.35 | 2.88x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 583 | $36.7K | $62.95 | 7.94x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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.
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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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