This provider's $11.1M 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 | $374.26 | $250.20 | 1.50x | $124.06 | $1.2M | 8.1K | 4.9K |
| 2015 | $372.02 | $252.77 | 1.47x | $119.25 | $1.2M | 8.4K | 5.0K |
| 2016 | $344.92 | $224.66 | 1.54x | $120.26 | $1.1M | 8.2K | 4.7K |
| 2017 | $371.61 | $240.23 | 1.55x | $131.38 | $1.0M | 7.5K | 4.6K |
| 2018 | $383.66 | $251.98 | 1.52x | $131.68 | $1.1M | 7.3K | 4.4K |
| 2019 | $374.43 | $246.60 | 1.52x | $127.83 | $1.1M | 7.3K | 4.2K |
| 2020 | $389.64 | $266.14 | 1.46x | $123.50 | $949.0K | 6.2K | 3.6K |
| 2021 | $393.01 | $261.39 | 1.50x | $131.62 | $1.1M | 6.9K | 3.9K |
| 2022 | $405.22 | $271.11 | 1.49x | $134.11 | $1.1M | 7.3K | 4.1K |
| 2023 | $376.52 | $254.47 | 1.48x | $122.05 | $1.1M | 7.0K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 22.2K | $3.0M | $133.96 | 1.36x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 3.4K | $1.2M | $357.52 | 2.14x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.3K | $1.2M | $356.86 | 1.28x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.8K | $1.2M | $663.52 | 1.31x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 1.1K | $651.7K | $605.66 | 1.33x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 15.1K | $567.6K | $37.56 | 1.43x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.3K | $548.9K | $425.82 | 1.69x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.2K | $423.9K | $343.21 | 1.28x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.2K | $381.0K | $89.72 | 1.33x |
| 11102 | Tangential biopsy of single skin lesion | 4.2K | $380.8K | $90.68 | 1.33x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 351 | $313.5K | $893.23 | 1.29x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 393 | $254.0K | $646.41 | 1.38x |
| 11103 | Tangential biopsy of additional skin lesion | 3.1K | $148.6K | $48.06 | 1.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.9K | $135.9K | $70.65 | 1.39x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 484 | $115.5K | $238.59 | 1.93x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 245 | $103.6K | $422.75 | 1.73x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 2.9K | $81.7K | $28.20 | 1.31x |
| 17000 | Destruction of skin growth | 1.6K | $79.1K | $50.44 | 1.53x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 740 | $64.6K | $87.24 | 1.43x |
| 10060 | Drainage of abscess | 622 | $63.9K | $102.69 | 1.34x |
This provider submits charges 1.46 times higher than what Medicare actually pays.
A markup ratio of 1.46x means for every $100 Medicare pays, this provider initially charges $146. This is lower 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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