This provider's $5.1M in total Medicare payments ranks in the 98th 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 | $240.46 | $108.32 | 2.22x | $132.14 | $428.4K | 6.6K | 5.3K |
| 2015 | $250.73 | $114.92 | 2.18x | $135.81 | $468.2K | 6.6K | 5.6K |
| 2016 | $243.99 | $111.23 | 2.19x | $132.76 | $516.4K | 6.9K | 5.7K |
| 2017 | $251.28 | $117.36 | 2.14x | $133.92 | $497.3K | 6.8K | 5.6K |
| 2018 | $241.64 | $111.09 | 2.18x | $130.55 | $542.8K | 7.3K | 5.9K |
| 2019 | $221.83 | $101.52 | 2.19x | $120.31 | $496.8K | 7.1K | 5.9K |
| 2020 | $219.43 | $102.87 | 2.13x | $116.56 | $441.9K | 6.3K | 5.4K |
| 2021 | $544.48 | $104.87 | 5.19x | $439.61 | $504.4K | 7.0K | 5.7K |
| 2022 | $664.81 | $130.43 | 5.10x | $534.38 | $559.8K | 7.7K | 6.0K |
| 2023 | $668.55 | $120.53 | 5.55x | $548.02 | $595.4K | 7.9K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.8K | $1.0M | $78.39 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.3K | $894.2K | $55.01 | 2.76x |
| 17000 | Destruction of skin growth | 9.6K | $480.1K | $49.82 | 3.72x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.1K | $292.4K | $263.91 | 1.47x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.6K | $279.1K | $179.16 | 2.53x |
| 17004 | Destruction of 15 or more skin growths | 2.0K | $241.6K | $121.13 | 3.02x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 935 | $183.1K | $195.78 | 2.98x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.2K | $182.6K | $34.92 | 2.49x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 743 | $174.6K | $234.96 | 2.54x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.2K | $151.8K | $69.61 | 3.22x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.8K | $136.9K | $77.88 | 2.18x |
| 11102 | Tangential biopsy of single skin lesion | 1.8K | $136.1K | $77.38 | 3.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $135.9K | $113.00 | 2.64x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.1K | $116.2K | $104.73 | 3.67x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 518 | $98.4K | $189.97 | 2.76x |
| 11104 | Punch biopsy of single skin lesion | 678 | $66.4K | $97.92 | 2.55x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 428 | $55.0K | $128.44 | 5.62x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 382 | $46.6K | $121.95 | 2.27x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 577 | $46.5K | $80.59 | 2.40x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 181 | $40.3K | $222.73 | 2.23x |
This provider submits charges 2.87 times higher than what Medicare actually pays.
A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. 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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