This provider's $8.2M 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 | $279.28 | $111.94 | 2.49x | $167.34 | $1.2M | 16.6K | 12.2K |
| 2015 | $273.05 | $112.88 | 2.42x | $160.17 | $1.0M | 15.0K | 11.2K |
| 2016 | $281.52 | $118.37 | 2.38x | $163.15 | $992.7K | 14.6K | 10.6K |
| 2017 | $281.19 | $114.83 | 2.45x | $166.36 | $948.7K | 14.4K | 10.3K |
| 2018 | $279.20 | $112.66 | 2.48x | $166.54 | $837.2K | 13.4K | 9.3K |
| 2019 | $284.92 | $116.31 | 2.45x | $168.61 | $815.5K | 12.6K | 8.8K |
| 2020 | $317.08 | $120.94 | 2.62x | $196.14 | $638.3K | 9.5K | 6.9K |
| 2021 | $312.25 | $116.41 | 2.68x | $195.84 | $657.3K | 9.9K | 6.8K |
| 2022 | $334.39 | $120.18 | 2.78x | $214.21 | $493.3K | 8.5K | 6.1K |
| 2023 | $321.25 | $124.32 | 2.58x | $196.93 | $542.7K | 9.0K | 6.2K |
| 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) | 3.9K | $2.0M | $512.75 | 2.25x |
| 17000 | Destruction of skin growth | 32.8K | $1.4M | $42.63 | 2.75x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $518.2K | $324.28 | 2.08x |
| 17110 | Destruction of up to 14 skin growths | 6.3K | $496.1K | $78.70 | 2.19x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.2K | $469.5K | $57.02 | 2.13x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 10.7K | $383.8K | $35.99 | 3.50x |
| 17004 | Destruction of 15 or more skin growths | 3.2K | $363.1K | $113.05 | 2.18x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.8K | $344.8K | $72.43 | 2.47x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 503 | $226.2K | $449.68 | 2.29x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.6K | $200.0K | $122.86 | 2.19x |
| 11102 | Tangential biopsy of single skin lesion | 2.8K | $195.2K | $70.30 | 2.95x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 2.6K | $189.8K | $73.44 | 1.91x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.5K | $185.2K | $125.62 | 4.12x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.1K | $176.1K | $166.41 | 3.27x |
| 17003 | Destruction of 2-14 skin growths | 29.6K | $144.4K | $4.87 | 2.90x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 1.3K | $113.5K | $90.69 | 2.38x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $112.7K | $75.15 | 2.17x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 666 | $87.2K | $130.91 | 3.87x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 713 | $78.5K | $110.05 | 4.03x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $72.7K | $33.65 | 3.42x |
This provider submits charges 2.52 times higher than what Medicare actually pays.
A markup ratio of 2.52x means for every $100 Medicare pays, this provider initially charges $252. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ 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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