This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 358% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81% in 2020
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 | $214.92 | $104.80 | 2.05x | $110.12 | $386.8K | 5.9K | 4.3K |
| 2015 | $135.47 | $63.34 | 2.14x | $72.13 | $316.4K | 5.4K | 4.1K |
| 2016 | $155.46 | $67.74 | 2.29x | $87.72 | $427.9K | 7.0K | 5.0K |
| 2017 | $150.71 | $68.45 | 2.20x | $82.26 | $501.7K | 8.2K | 6.0K |
| 2018 | $162.01 | $72.58 | 2.23x | $89.43 | $483.2K | 7.7K | 6.1K |
| 2019 | $185.07 | $85.98 | 2.15x | $99.09 | $638.1K | 8.9K | 6.0K |
| 2020 | $322.57 | $126.07 | 2.56x | $196.50 | $1.2M | 13.8K | 7.7K |
| 2021 | $283.05 | $120.46 | 2.35x | $162.59 | $1.6M | 18.2K | 9.5K |
| 2022 | $219.55 | $96.17 | 2.28x | $123.38 | $1.5M | 19.1K | 10.4K |
| 2023 | $218.19 | $98.98 | 2.20x | $119.21 | $1.8M | 21.7K | 11.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 7.5K | $1.5M | $203.63 | 2.21x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 8.1K | $948.5K | $117.38 | 1.90x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 2.9K | $810.8K | $278.04 | 1.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.2K | $785.7K | $76.74 | 1.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.2K | $680.2K | $55.71 | 1.58x |
| 17004 | Destruction of 15 or more skin growths | 4.5K | $482.6K | $106.36 | 3.16x |
| 17000 | Destruction of skin growth | 13.6K | $480.9K | $35.26 | 2.69x |
| 11102 | Tangential biopsy of single skin lesion | 6.2K | $389.1K | $62.88 | 2.23x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.0K | $265.8K | $66.12 | 2.01x |
| 17110 | Destruction of up to 14 skin growths | 3.2K | $234.5K | $74.01 | 1.68x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.3K | $229.1K | $69.50 | 2.14x |
| 77401 | Radiation treatment delivery, superficial | 7.2K | $203.5K | $28.13 | 1.99x |
| 77427 | Radiation treatment management, 5 treatments | 1.3K | $197.8K | $146.97 | 1.94x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3.5K | $179.2K | $51.75 | 3.30x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 786 | $150.3K | $191.16 | 1.69x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 1.3K | $138.6K | $109.10 | 1.97x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.4K | $119.0K | $83.59 | 1.72x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 677 | $102.0K | $150.60 | 1.67x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 616 | $92.2K | $149.65 | 2.04x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 180 | $79.5K | $441.94 | 2.63x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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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