This provider's $16.5M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 109% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 140% in 2015
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 | $555.87 | $189.41 | 2.93x | $366.46 | $867.4K | 6.9K | 3.5K |
| 2015 | $540.22 | $202.24 | 2.67x | $337.98 | $2.1M | 12.4K | 6.6K |
| 2016 | $539.00 | $205.20 | 2.63x | $333.80 | $2.2M | 14.1K | 7.2K |
| 2017 | $577.96 | $224.86 | 2.57x | $353.10 | $2.0M | 10.5K | 5.8K |
| 2018 | $611.76 | $226.60 | 2.70x | $385.16 | $1.8M | 10.7K | 6.0K |
| 2019 | $581.23 | $221.24 | 2.63x | $359.99 | $1.6M | 9.4K | 5.5K |
| 2020 | $571.24 | $229.10 | 2.49x | $342.14 | $1.4M | 7.7K | 4.8K |
| 2021 | $581.06 | $230.95 | 2.52x | $350.11 | $1.3M | 7.7K | 4.7K |
| 2022 | $583.63 | $222.71 | 2.62x | $360.92 | $1.4M | 8.6K | 5.2K |
| 2023 | $641.17 | $238.84 | 2.68x | $402.33 | $1.8M | 10.6K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 3.1K | $2.1M | $679.78 | 1.85x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 5.7K | $1.8M | $309.71 | 3.59x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 4.8K | $1.7M | $358.36 | 2.42x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 2.5K | $1.6M | $628.33 | 2.48x |
| 17004 | Destruction of 15 or more skin growths | 10.0K | $1.4M | $138.73 | 3.24x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.3K | $873.9K | $691.39 | 1.91x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 2.7K | $816.6K | $301.66 | 3.61x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.8K | $615.5K | $343.11 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.6K | $496.0K | $65.54 | 1.90x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 532 | $413.7K | $777.65 | 2.57x |
| 11102 | Tangential biopsy of single skin lesion | 5.9K | $386.5K | $65.97 | 3.79x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.7K | $371.7K | $64.68 | 2.69x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 875 | $313.5K | $358.33 | 3.50x |
| 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 | 344 | $286.8K | $833.62 | 2.37x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 602 | $284.6K | $472.71 | 3.11x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 732 | $278.0K | $379.78 | 2.68x |
| 67810 | Biopsy of eyelid | 1.7K | $258.4K | $154.54 | 2.58x |
| 17110 | Destruction of up to 14 skin growths | 2.9K | $222.3K | $77.85 | 3.53x |
| 11103 | Tangential biopsy of additional skin lesion | 4.5K | $219.2K | $48.28 | 3.63x |
| 17000 | Destruction of skin growth | 4.6K | $187.8K | $41.21 | 4.35x |
This provider submits charges 2.75 times higher than what Medicare actually pays.
A markup ratio of 2.75x means for every $100 Medicare pays, this provider initially charges $275. 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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