This provider's $8.4M 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 | $168.43 | $126.69 | 1.33x | $41.74 | $713.9K | 11.2K | 7.6K |
| 2015 | $142.57 | $105.75 | 1.35x | $36.82 | $717.1K | 11.9K | 8.0K |
| 2016 | $196.82 | $133.13 | 1.48x | $63.69 | $775.2K | 12.3K | 8.3K |
| 2017 | $154.68 | $110.95 | 1.39x | $43.73 | $718.1K | 11.9K | 7.7K |
| 2018 | $187.44 | $134.98 | 1.39x | $52.46 | $827.7K | 12.9K | 7.9K |
| 2019 | $181.80 | $137.02 | 1.33x | $44.78 | $1.0M | 13.4K | 8.1K |
| 2020 | $189.48 | $147.04 | 1.29x | $42.44 | $1.0M | 13.6K | 7.8K |
| 2021 | $169.88 | $132.24 | 1.28x | $37.64 | $1.0M | 13.8K | 8.2K |
| 2022 | $180.77 | $136.07 | 1.33x | $44.70 | $932.5K | 13.0K | 8.0K |
| 2023 | $173.17 | $127.00 | 1.36x | $46.17 | $691.0K | 10.1K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 24.1K | $1.5M | $61.33 | 1.46x |
| 17000 | Destruction of skin growth | 24.7K | $1.1M | $42.85 | 1.37x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 3.2K | $836.6K | $264.00 | 1.31x |
| 17110 | Destruction of up to 14 skin growths | 8.2K | $765.2K | $93.87 | 1.37x |
| 88331 | Pathology examination of tissue during surgery | 6.9K | $601.4K | $87.54 | 1.33x |
| 11102 | Tangential biopsy of single skin lesion | 6.5K | $524.3K | $81.09 | 1.32x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.9K | $478.9K | $81.53 | 1.40x |
| 17004 | Destruction of 15 or more skin growths | 3.2K | $428.6K | $134.77 | 1.35x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 542 | $328.9K | $606.75 | 1.30x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 900 | $219.7K | $244.08 | 1.31x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.7K | $192.9K | $111.71 | 1.42x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 826 | $170.7K | $206.69 | 1.34x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 5.2K | $169.3K | $32.46 | 1.33x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 642 | $160.6K | $250.11 | 1.31x |
| 17003 | Destruction of 2-14 skin growths | 20.7K | $120.4K | $5.80 | 1.30x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $96.8K | $79.67 | 1.59x |
| 88332 | Pathology examination of specimen during surgery | 1.8K | $89.0K | $50.61 | 1.25x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 664 | $88.4K | $133.15 | 1.41x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 713 | $85.6K | $120.02 | 1.44x |
| 11641 | Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips | 612 | $64.3K | $105.01 | 1.41x |
This provider submits charges 1.37 times higher than what Medicare actually pays.
A markup ratio of 1.37x means for every $100 Medicare pays, this provider initially charges $137. This is lower 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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