This provider's $5.2M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 1112% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 256% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $453.44 | $133.68 | 3.39x | $319.76 | $111.0K | 1.0K | 928 |
| 2017 | $537.86 | $173.66 | 3.10x | $364.20 | $394.7K | 3.2K | 2.6K |
| 2018 | $508.81 | $163.37 | 3.11x | $345.44 | $392.9K | 3.3K | 2.7K |
| 2019 | $464.59 | $151.27 | 3.07x | $313.32 | $498.5K | 3.8K | 3.2K |
| 2020 | $526.25 | $176.85 | 2.98x | $349.40 | $558.5K | 3.5K | 2.8K |
| 2021 | $555.52 | $173.86 | 3.20x | $381.66 | $710.7K | 3.4K | 2.8K |
| 2022 | $657.36 | $193.89 | 3.39x | $463.47 | $1.2M | 4.7K | 3.7K |
| 2023 | $681.79 | $212.45 | 3.21x | $469.34 | $1.3M | 4.7K | 3.6K |
| 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) | 3.5K | $1.6M | $439.08 | 2.78x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.3K | $555.0K | $432.21 | 3.10x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $478.4K | $294.61 | 2.43x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.1K | $396.9K | $187.31 | 4.70x |
| Q4194 | Novachor, per square centimeter | 391 | $315.3K | $806.44 | 3.92x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.6K | $296.9K | $189.12 | 4.18x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $144.6K | $72.17 | 2.77x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 604 | $133.4K | $220.87 | 3.30x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 238 | $133.3K | $559.93 | 2.59x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 428 | $120.6K | $281.84 | 2.43x |
| 17110 | Destruction of up to 14 skin growths | 1.5K | $97.1K | $66.43 | 3.01x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $96.2K | $66.57 | 3.00x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 104 | $75.4K | $724.98 | 2.61x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 361 | $72.7K | $201.43 | 4.67x |
| 17004 | Destruction of 15 or more skin growths | 699 | $72.2K | $103.26 | 2.86x |
| Q4159 | Affinity, per square centimeter | 123 | $60.9K | $495.06 | 6.35x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 589 | $56.1K | $95.31 | 3.15x |
| 17000 | Destruction of skin growth | 1.9K | $54.7K | $28.98 | 4.31x |
| Q4197 | Puraply xt, per square centimeter | 293 | $54.0K | $184.26 | 4.31x |
| 11102 | Tangential biopsy of single skin lesion | 964 | $51.8K | $53.69 | 3.72x |
This provider submits charges 3.22 times higher than what Medicare actually pays.
A markup ratio of 3.22x means for every $100 Medicare pays, this provider initially charges $322. 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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