This provider's $6.2M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 77% from 2014 to 2023.
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 | $214.03 | $121.16 | 1.77x | $92.87 | $496.4K | 8.3K | 4.2K |
| 2015 | $211.49 | $125.72 | 1.68x | $85.77 | $486.3K | 8.1K | 4.3K |
| 2016 | $214.58 | $118.60 | 1.81x | $95.98 | $520.7K | 8.4K | 4.5K |
| 2017 | $245.46 | $138.71 | 1.77x | $106.75 | $534.2K | 8.1K | 4.6K |
| 2018 | $267.27 | $149.81 | 1.78x | $117.46 | $588.5K | 9.0K | 4.7K |
| 2019 | $266.72 | $161.07 | 1.66x | $105.65 | $607.1K | 8.9K | 4.7K |
| 2020 | $278.24 | $147.10 | 1.89x | $131.14 | $563.3K | 7.9K | 4.4K |
| 2021 | $366.61 | $156.30 | 2.35x | $210.31 | $700.3K | 9.6K | 5.4K |
| 2022 | $355.08 | $147.33 | 2.41x | $207.75 | $855.0K | 12.8K | 6.9K |
| 2023 | $261.13 | $99.89 | 2.61x | $161.24 | $877.6K | 16.0K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17000 | Destruction of skin growth | 21.3K | $998.3K | $46.95 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.1K | $978.9K | $60.98 | 1.72x |
| 17004 | Destruction of 15 or more skin growths | 5.5K | $701.8K | $126.72 | 2.58x |
| 17110 | Destruction of up to 14 skin growths | 7.1K | $650.7K | $91.40 | 1.81x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.1K | $644.2K | $563.11 | 1.55x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6.6K | $282.7K | $42.96 | 1.84x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.1K | $282.5K | $245.64 | 1.72x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.9K | $230.7K | $80.62 | 1.55x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.0K | $209.1K | $41.87 | 1.75x |
| 11102 | Tangential biopsy of single skin lesion | 2.7K | $207.3K | $78.14 | 2.06x |
| 77280 | Management of radiation therapy simulation, simple | 577 | $147.1K | $254.91 | 1.59x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 350 | $121.4K | $346.92 | 1.51x |
| 77290 | Management of radiation therapy, simulation, complex | 234 | $103.7K | $443.12 | 2.04x |
| 17003 | Destruction of 2-14 skin growths | 18.5K | $100.0K | $5.41 | 3.76x |
| 77401 | Radiation treatment delivery, superficial | 3.0K | $93.9K | $31.70 | 1.48x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 687 | $74.5K | $108.48 | 3.10x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 449 | $61.5K | $137.03 | 2.76x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 289 | $45.5K | $157.34 | 2.42x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 79 | $42.9K | $543.51 | 1.56x |
| 17111 | Destruction of 15 or more skin growths | 380 | $41.1K | $108.28 | 1.88x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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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