This provider's $5.2M in total Medicare payments ranks in the 95th percentile of Micrographic Dermatologic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2021
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 | $413.71 | $142.84 | 2.90x | $270.87 | $416.2K | 1.7K | 1.4K |
| 2015 | $486.39 | $161.05 | 3.02x | $325.34 | $421.2K | 1.6K | 1.3K |
| 2016 | $468.12 | $168.53 | 2.78x | $299.59 | $404.0K | 1.3K | 1.1K |
| 2017 | $681.99 | $311.64 | 2.19x | $370.35 | $638.5K | 2.0K | 1.8K |
| 2018 | $707.06 | $330.02 | 2.14x | $377.04 | $806.6K | 2.4K | 2.1K |
| 2019 | $974.33 | $333.13 | 2.92x | $641.20 | $439.6K | 1.5K | 1.4K |
| 2020 | $1.1K | $369.13 | 3.01x | $742.46 | $339.5K | 1.2K | 1.2K |
| 2021 | $1.1K | $339.69 | 3.15x | $730.26 | $578.8K | 1.9K | 1.7K |
| 2022 | $1.0K | $328.57 | 3.09x | $685.60 | $565.4K | 2.0K | 1.7K |
| 2023 | $1.0K | $334.76 | 3.06x | $690.95 | $567.6K | 1.9K | 1.7K |
| 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) | 4.0K | $2.0M | $493.32 | 2.16x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.8K | $641.5K | $354.00 | 3.74x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.8K | $537.2K | $295.67 | 2.08x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 811 | $374.2K | $461.36 | 2.19x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.0K | $306.1K | $296.37 | 3.13x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 268 | $208.1K | $776.48 | 3.68x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $161.9K | $121.01 | 1.82x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 309 | $120.3K | $389.39 | 3.94x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 164 | $118.4K | $722.19 | 2.98x |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 130 | $109.9K | $845.02 | 1.89x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 317 | $90.4K | $285.08 | 2.88x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $80.1K | $78.01 | 1.92x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 122 | $72.9K | $597.91 | 3.52x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 89 | $67.9K | $763.19 | 3.18x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 599 | $56.4K | $94.09 | 1.55x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 193 | $54.7K | $283.38 | 2.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 989 | $51.8K | $52.37 | 2.07x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 40 | $27.1K | $677.98 | 2.11x |
| 13122 | Repair of wound of scalp, arms, and/or legs | 210 | $21.0K | $100.21 | 4.84x |
| 13133 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 135 | $18.0K | $133.21 | 8.74x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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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