This provider's $4.2M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 167% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2022
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 | $238.74 | $85.40 | 2.80x | $153.34 | $274.7K | 4.4K | 3.8K |
| 2015 | $224.17 | $81.06 | 2.77x | $143.11 | $311.7K | 5.3K | 4.4K |
| 2016 | $198.09 | $72.99 | 2.71x | $125.10 | $324.5K | 5.6K | 4.8K |
| 2017 | $178.14 | $64.87 | 2.75x | $113.27 | $389.6K | 6.5K | 5.6K |
| 2018 | $163.92 | $73.72 | 2.22x | $90.20 | $408.6K | 6.9K | 5.8K |
| 2019 | $162.88 | $75.03 | 2.17x | $87.85 | $411.0K | 6.8K | 5.8K |
| 2020 | $157.42 | $74.56 | 2.11x | $82.86 | $379.8K | 6.3K | 5.5K |
| 2021 | $172.06 | $75.08 | 2.29x | $96.98 | $358.4K | 6.0K | 5.2K |
| 2022 | $202.71 | $90.25 | 2.25x | $112.46 | $589.9K | 9.2K | 7.6K |
| 2023 | $184.50 | $85.67 | 2.15x | $98.83 | $734.4K | 12.2K | 10.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.0K | $890.0K | $81.27 | 2.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.9K | $674.5K | $62.13 | 2.29x |
| 17000 | Destruction of skin growth | 11.2K | $480.7K | $42.77 | 3.00x |
| 17110 | Destruction of up to 14 skin growths | 4.8K | $422.0K | $87.35 | 2.32x |
| 11102 | Tangential biopsy of single skin lesion | 4.6K | $349.5K | $76.20 | 2.18x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.9K | $298.1K | $77.12 | 2.09x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.5K | $277.8K | $78.26 | 2.45x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 2.5K | $133.7K | $53.61 | 2.59x |
| 17004 | Destruction of 15 or more skin growths | 1.0K | $128.9K | $127.52 | 2.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $78.4K | $35.16 | 2.42x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 515 | $69.1K | $134.17 | 2.43x |
| 11103 | Tangential biopsy of additional skin lesion | 1.1K | $48.1K | $44.96 | 1.89x |
| 17003 | Destruction of 2-14 skin growths | 8.1K | $43.3K | $5.32 | 2.22x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 358 | $32.6K | $91.03 | 2.20x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 263 | $28.9K | $109.78 | 2.13x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 207 | $25.1K | $121.43 | 2.19x |
| 69100 | Biopsy of ear | 384 | $25.1K | $65.33 | 2.82x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 100 | $25.0K | $250.48 | 2.12x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 905 | $24.9K | $27.54 | 2.01x |
| 10060 | Drainage of abscess | 229 | $21.8K | $95.40 | 2.27x |
This provider submits charges 2.4 times higher than what Medicare actually pays.
A markup ratio of 2.4x means for every $100 Medicare pays, this provider initially charges $240. 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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