This provider's $8.6M 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 | $518.79 | $166.07 | 3.12x | $352.72 | $759.2K | 8.1K | 6.0K |
| 2015 | $488.31 | $149.78 | 3.26x | $338.53 | $878.5K | 10.6K | 7.8K |
| 2016 | $566.49 | $165.87 | 3.42x | $400.62 | $825.5K | 8.6K | 6.4K |
| 2017 | $511.22 | $149.29 | 3.42x | $361.93 | $808.8K | 6.8K | 5.4K |
| 2018 | $604.63 | $183.24 | 3.30x | $421.39 | $821.4K | 6.6K | 5.2K |
| 2019 | $573.43 | $174.76 | 3.28x | $398.67 | $982.6K | 7.1K | 5.3K |
| 2020 | $576.05 | $180.47 | 3.19x | $395.58 | $876.8K | 5.5K | 4.3K |
| 2021 | $577.24 | $182.26 | 3.17x | $394.98 | $879.9K | 5.6K | 4.5K |
| 2022 | $635.10 | $195.88 | 3.24x | $439.22 | $957.8K | 6.0K | 4.7K |
| 2023 | $586.33 | $163.32 | 3.59x | $423.01 | $809.9K | 5.1K | 4.1K |
| 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) | 6.4K | $2.9M | $452.31 | 3.43x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 4.5K | $877.6K | $195.37 | 3.16x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.2K | $653.5K | $292.67 | 3.47x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.5K | $566.7K | $49.18 | 2.59x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 2.9K | $336.4K | $114.19 | 6.07x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 3.1K | $280.4K | $91.58 | 5.73x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 1.4K | $235.6K | $170.50 | 3.96x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.5K | $211.6K | $60.22 | 3.57x |
| 17000 | Destruction of skin growth | 5.8K | $187.0K | $31.97 | 5.25x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 1.6K | $152.9K | $96.00 | 5.20x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $147.7K | $77.30 | 2.68x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 185 | $147.1K | $794.88 | 2.39x |
| 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 | 181 | $122.4K | $676.09 | 2.44x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.7K | $115.7K | $31.01 | 3.26x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 1.8K | $109.6K | $60.92 | 1.83x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 913 | $92.8K | $101.64 | 5.65x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $85.2K | $67.10 | 2.98x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 147 | $82.8K | $563.34 | 2.93x |
| 17110 | Destruction of up to 14 skin growths | 1.2K | $78.8K | $66.96 | 3.12x |
| 12034 | Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 334 | $73.0K | $218.55 | 2.91x |
This provider submits charges 3.57 times higher than what Medicare actually pays.
A markup ratio of 3.57x means for every $100 Medicare pays, this provider initially charges $357. 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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