This provider's $9.2M 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 | $538.09 | $261.28 | 2.06x | $276.81 | $882.4K | 3.4K | 3.0K |
| 2015 | $530.16 | $262.44 | 2.02x | $267.72 | $856.3K | 3.3K | 3.0K |
| 2016 | $503.51 | $245.26 | 2.05x | $258.25 | $826.1K | 3.4K | 3.0K |
| 2017 | $546.21 | $272.64 | 2.00x | $273.57 | $852.8K | 3.3K | 2.9K |
| 2018 | $515.69 | $258.30 | 2.00x | $257.39 | $817.2K | 3.4K | 3.0K |
| 2019 | $531.29 | $274.24 | 1.94x | $257.05 | $980.9K | 3.9K | 3.4K |
| 2020 | $504.89 | $259.27 | 1.95x | $245.62 | $991.6K | 3.9K | 3.5K |
| 2021 | $462.65 | $232.19 | 1.99x | $230.46 | $1.1M | 4.3K | 4.0K |
| 2022 | $474.76 | $224.23 | 2.12x | $250.53 | $1.0M | 4.4K | 4.0K |
| 2023 | $483.61 | $231.50 | 2.09x | $252.11 | $951.5K | 4.0K | 3.7K |
| 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) | 7.3K | $2.8M | $382.05 | 2.42x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 1.9K | $1.5M | $800.73 | 1.75x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.0K | $971.2K | $328.34 | 1.90x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.2K | $494.2K | $429.37 | 1.92x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 463 | $401.9K | $867.93 | 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 | 553 | $399.9K | $723.16 | 1.91x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.4K | $386.8K | $88.26 | 1.47x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 526 | $282.9K | $537.92 | 2.04x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 349 | $261.9K | $750.41 | 1.80x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 960 | $190.2K | $198.10 | 3.79x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.1K | $189.9K | $89.88 | 1.48x |
| 88331 | Pathology examination of tissue during surgery | 2.3K | $185.5K | $80.65 | 1.65x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 223 | $144.1K | $646.06 | 1.76x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 881 | $116.3K | $132.06 | 1.36x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 204 | $112.5K | $551.25 | 1.85x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 381 | $79.8K | $209.57 | 3.58x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 200 | $63.7K | $318.73 | 1.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 881 | $57.3K | $65.07 | 1.54x |
| 11102 | Tangential biopsy of single skin lesion | 1.2K | $57.1K | $47.31 | 3.38x |
| 88342 | Tissue or cell analysis by immunologic technique | 658 | $55.6K | $84.44 | 1.94x |
This provider submits charges 2.07 times higher than what Medicare actually pays.
A markup ratio of 2.07x means for every $100 Medicare pays, this provider initially charges $207. 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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