This provider averages 52 services per working day
Based on 130.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.3M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1064% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 109% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $335.05 | $106.14 | 3.16x | $228.91 | $157.1K | 2.3K | 1.6K |
| 2015 | $361.22 | $120.25 | 3.00x | $240.97 | $240.0K | 3.4K | 2.2K |
| 2016 | $295.01 | $109.03 | 2.71x | $185.98 | $375.5K | 5.3K | 3.0K |
| 2017 | $338.00 | $112.63 | 3.00x | $225.37 | $506.2K | 7.2K | 3.7K |
| 2018 | $350.61 | $116.40 | 3.01x | $234.21 | $531.0K | 7.3K | 4.2K |
| 2019 | $270.45 | $107.41 | 2.52x | $163.04 | $1.1M | 14.1K | 6.9K |
| 2020 | $281.99 | $123.29 | 2.29x | $158.70 | $2.1M | 23.1K | 8.1K |
| 2021 | $275.03 | $117.19 | 2.35x | $157.84 | $3.3M | 33.3K | 11.2K |
| 2022 | $332.00 | $125.54 | 2.64x | $206.46 | $2.2M | 19.6K | 7.1K |
| 2023 | $367.30 | $128.23 | 2.86x | $239.07 | $1.8M | 15.2K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 12.9K | $2.9M | $226.63 | 1.92x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 13.5K | $1.7M | $127.06 | 1.58x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 7.7K | $979.9K | $128.03 | 2.75x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 9.3K | $834.6K | $89.97 | 1.98x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.6K | $749.1K | $55.05 | 2.62x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.4K | $704.6K | $507.64 | 2.34x |
| 96921 | Laser treatment (250 to 500 sq centimeters) for inflammatory skin disease | 3.1K | $432.9K | $141.19 | 2.77x |
| 77401 | Radiation treatment delivery, superficial | 12.7K | $394.6K | $31.10 | 1.99x |
| 11102 | Tangential biopsy of single skin lesion | 6.0K | $376.2K | $62.74 | 3.25x |
| 17110 | Destruction of up to 14 skin growths | 4.1K | $328.7K | $79.66 | 2.81x |
| 17000 | Destruction of skin growth | 7.6K | $251.8K | $33.24 | 4.99x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.3K | $229.1K | $68.72 | 2.97x |
| 77427 | Radiation treatment management, 5 treatments | 1.1K | $171.5K | $150.47 | 1.81x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.3K | $169.5K | $74.35 | 2.81x |
| 11103 | Tangential biopsy of additional skin lesion | 3.9K | $165.5K | $41.90 | 2.84x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $158.4K | $86.85 | 2.56x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 278 | $135.8K | $488.35 | 2.23x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4.7K | $122.6K | $25.90 | 4.20x |
| 77336 | Radiation therapy consultation per week | 1.8K | $120.7K | $66.24 | 1.92x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 425 | $83.2K | $195.83 | 3.19x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. 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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