This provider's $4.9M in total Medicare payments ranks in the 98th 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 | $160.71 | $104.78 | 1.53x | $55.93 | $411.2K | 6.7K | 5.3K |
| 2015 | $201.34 | $100.06 | 2.01x | $101.28 | $407.8K | 6.8K | 5.3K |
| 2016 | $292.74 | $99.91 | 2.93x | $192.83 | $467.5K | 7.8K | 5.9K |
| 2017 | $315.46 | $98.17 | 3.21x | $217.29 | $477.0K | 8.0K | 6.0K |
| 2018 | $320.52 | $99.91 | 3.21x | $220.61 | $528.8K | 8.5K | 6.3K |
| 2019 | $328.50 | $102.60 | 3.20x | $225.90 | $512.8K | 8.1K | 6.1K |
| 2020 | $324.04 | $101.25 | 3.20x | $222.79 | $424.5K | 6.7K | 5.3K |
| 2021 | $346.02 | $115.23 | 3.00x | $230.79 | $569.9K | 8.3K | 6.4K |
| 2022 | $347.69 | $112.47 | 3.09x | $235.22 | $544.3K | 8.0K | 6.2K |
| 2023 | $355.10 | $115.83 | 3.07x | $239.27 | $561.9K | 8.2K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.7K | $1.2M | $80.78 | 2.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.3K | $503.0K | $60.74 | 2.79x |
| 17000 | Destruction of skin growth | 12.8K | $483.1K | $37.73 | 3.57x |
| 17110 | Destruction of up to 14 skin growths | 5.6K | $453.6K | $81.04 | 2.80x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.9K | $432.2K | $73.23 | 2.62x |
| 11102 | Tangential biopsy of single skin lesion | 6.0K | $409.6K | $68.70 | 3.20x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 2.2K | $279.8K | $128.17 | 2.76x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 490 | $159.1K | $324.71 | 2.49x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 515 | $148.6K | $288.55 | 2.34x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 357 | $126.2K | $353.44 | 2.49x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $123.7K | $73.95 | 2.84x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.1K | $101.0K | $32.84 | 2.50x |
| 11103 | Tangential biopsy of additional skin lesion | 1.9K | $82.0K | $43.68 | 2.62x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 632 | $61.5K | $97.24 | 3.18x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 2.0K | $54.1K | $27.07 | 2.31x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 506 | $51.7K | $102.09 | 4.90x |
| 17003 | Destruction of 2-14 skin growths | 8.0K | $41.0K | $5.15 | 2.59x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 363 | $34.2K | $94.18 | 2.56x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 221 | $26.5K | $119.87 | 4.75x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 221 | $26.1K | $118.19 | 3.11x |
This provider submits charges 2.89 times higher than what Medicare actually pays.
A markup ratio of 2.89x means for every $100 Medicare pays, this provider initially charges $289. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Thi Tran, DO | The Villages, FL | $37.6M | ✓ Clear |
| Neil Sandhu, MD | Orange City, FL | $36.2M | ✓ Clear |
| David Casper, M.D. | The Villages, FL | $35.4M | ✓ 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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