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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Patricia Matheis
๐Ÿงด
MDIndividual

Patricia Matheis, M.D.

NPI: 1740385061
Wake Forest, NC
10 years of data
Dermatology
$7.3M
Total Payments
52.1K
Beneficiaries
65.3K
Services
2.99x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.3M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $7.3M over 10 years
22.99x markup ratio (above median)
399th percentile in Dermatology by payments
46 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.

Medicare payments to this provider grew 116% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$407.24$132.983.06x$274.26$410.2K4.8K3.7K
2015$484.79$153.643.16x$331.15$509.1K5.2K4.1K
2016$546.44$163.473.34x$382.97$655.1K6.3K5.0K
2017$526.69$157.853.34x$368.84$756.7K7.0K5.6K
2018$527.67$160.773.28x$366.90$728.1K6.9K5.7K
2019$487.70$157.273.10x$330.43$861.9K7.6K6.1K
2020$501.38$159.583.14x$341.80$717.9K6.2K5.0K
2021$529.69$173.593.05x$356.10$855.3K6.5K5.3K
2022$505.18$159.103.18x$346.08$947.6K7.3K5.7K
2023$489.16$164.742.97x$324.42$885.6K7.6K5.9K

Top Procedures (20)

13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
$890.1K
3.2K services$274.55/svc2.85x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet
$650.0K
1.1K services$571.17/svc2.43x markup
13101Repair of wound (2.6 to 7.5 centimeters) of trunk
$639.4K
2.3K services$280.57/svc2.54x markup
11302Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs
$585.1K
7.9K services$74.05/svc2.81x markup
14020Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs
$498.4K
953 services$522.98/svc2.52x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$436.0K
8.4K services$51.84/svc2.51x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips
$370.5K
635 services$583.44/svc2.43x markup
11312Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth
$367.5K
3.5K services$105.08/svc2.27x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.6x markup
$361.1K
1.6K services$224.40/svc4.57x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$329.9K
2.9K services$115.09/svc2.33x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$248.6K
3.1K services$79.24/svc2.42x markup
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legsโš  4.5x markup
$183.6K
2.8K services$64.60/svc4.49x markup
17250Application of chemical agent to excessive wound tissueโš  4.3x markup
$173.1K
5.3K services$32.80/svc4.27x markup
11307Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals
$170.5K
2.0K services$87.01/svc2.75x markup
99203New patient office or other outpatient visit, typically 30 minutes
$162.7K
2.4K services$68.28/svc2.78x markup
17004Destruction of 15 or more skin growths
$151.1K
1.4K services$109.88/svc2.94x markup
11602Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legsโš  4.6x markup
$132.9K
1.4K services$93.76/svc4.56x markup
17000Destruction of skin growthโš  5.2x markup
$122.2K
4.5K services$27.12/svc5.15x markup
11642Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lipsโš  4.7x markup
$118.4K
1.2K services$102.66/svc4.74x markup
14000Tissue transfer repair of wound (10 sq centimeters or less) of the trunk
$110.7K
234 services$472.92/svc2.50x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs3.2K$890.1K$274.552.85x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1.1K$650.0K$571.172.43x
13101Repair of wound (2.6 to 7.5 centimeters) of trunk2.3K$639.4K$280.572.54x
11302Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs7.9K$585.1K$74.052.81x
14020Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs953$498.4K$522.982.52x
99213Established patient office or other outpatient visit, typically 15 minutes8.4K$436.0K$51.842.51x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips635$370.5K$583.442.43x
11312Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth3.5K$367.5K$105.082.27x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1.6K$361.1K$224.404.57x
99215Established patient office or other outpatient, visit typically 40 minutes2.9K$329.9K$115.092.33x
99214Established patient office or other outpatient, visit typically 25 minutes3.1K$248.6K$79.242.42x
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs2.8K$183.6K$64.604.49x
17250Application of chemical agent to excessive wound tissue5.3K$173.1K$32.804.27x
11307Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals2.0K$170.5K$87.012.75x
99203New patient office or other outpatient visit, typically 30 minutes2.4K$162.7K$68.282.78x
17004Destruction of 15 or more skin growths1.4K$151.1K$109.882.94x
11602Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs1.4K$132.9K$93.764.56x
17000Destruction of skin growth4.5K$122.2K$27.125.15x
11642Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips1.2K$118.4K$102.664.74x
14000Tissue transfer repair of wound (10 sq centimeters or less) of the trunk234$110.7K$472.922.50x

Markup Analysis

Charge-to-Payment Ratio

2.99x

This provider submits charges 2.99 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. This is higher than the national average.

Location

Wake Forest, NC

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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