This provider's $11.6M 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 | $346.88 | $220.04 | 1.58x | $126.84 | $1.2M | 10.2K | 7.8K |
| 2015 | $340.70 | $207.68 | 1.64x | $133.02 | $1.1M | 10.0K | 7.6K |
| 2016 | $390.81 | $180.16 | 2.17x | $210.65 | $1.3M | 11.3K | 8.3K |
| 2017 | $407.18 | $192.26 | 2.12x | $214.92 | $1.3M | 11.3K | 8.0K |
| 2018 | $397.55 | $190.87 | 2.08x | $206.68 | $1.3M | 11.5K | 8.0K |
| 2019 | $416.41 | $209.94 | 1.98x | $206.47 | $1.2M | 10.5K | 7.6K |
| 2020 | $401.62 | $208.85 | 1.92x | $192.77 | $1.0M | 9.0K | 6.5K |
| 2021 | $398.56 | $210.97 | 1.89x | $187.59 | $1.1M | 9.7K | 6.9K |
| 2022 | $358.78 | $191.81 | 1.87x | $166.97 | $1.0M | 9.1K | 6.6K |
| 2023 | $378.13 | $185.16 | 2.04x | $192.97 | $962.8K | 9.0K | 6.7K |
| 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) | 3.5K | $1.3M | $375.35 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.5K | $1.2M | $63.83 | 1.54x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.9K | $996.6K | $347.23 | 1.50x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.4K | $951.7K | $660.02 | 1.77x |
| 11100 | Biopsy of single growth of skin and/or tissue | 7.9K | $666.1K | $84.47 | 1.43x |
| 11102 | Tangential biopsy of single skin lesion | 6.6K | $563.3K | $85.47 | 1.46x |
| 17000 | Destruction of skin growth | 11.0K | $530.7K | $48.41 | 1.81x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.4K | $486.5K | $335.55 | 1.85x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 645 | $395.6K | $613.34 | 1.30x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 1.1K | $370.2K | $329.35 | 1.42x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.0K | $363.7K | $40.48 | 1.88x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 551 | $355.7K | $645.53 | 2.24x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 861 | $315.6K | $366.52 | 2.54x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.2K | $310.6K | $256.07 | 1.41x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 4.1K | $239.9K | $58.28 | 1.64x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 725 | $232.2K | $320.33 | 2.44x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 655 | $218.7K | $333.86 | 1.44x |
| 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 | 248 | $200.3K | $807.73 | 1.97x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.5K | $174.7K | $113.29 | 2.77x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 605 | $155.5K | $257.08 | 2.72x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. 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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