This provider's $3.6M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 969% from 2015 to 2023.
66% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 202% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $125.75 | $48.22 | 2.61x | $77.53 | $74.2K | 1.3K | 1.0K |
| 2016 | $94.02 | $40.79 | 2.30x | $53.23 | $224.4K | 4.0K | 2.9K |
| 2017 | $90.74 | $32.61 | 2.78x | $58.13 | $232.3K | 4.5K | 3.3K |
| 2018 | $68.65 | $22.91 | 3.00x | $45.74 | $215.6K | 6.8K | 5.6K |
| 2019 | $186.91 | $72.58 | 2.58x | $114.33 | $640.6K | 11.4K | 9.5K |
| 2020 | $223.65 | $47.78 | 4.68x | $175.87 | $367.0K | 7.4K | 6.1K |
| 2021 | $190.64 | $50.43 | 3.78x | $140.21 | $440.1K | 8.5K | 7.1K |
| 2022 | $171.26 | $57.34 | 2.99x | $113.92 | $583.8K | 10.3K | 8.5K |
| 2023 | $133.51 | $58.87 | 2.27x | $74.64 | $793.9K | 13.7K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 47.9K | $2.3M | $48.94 | 3.38x |
| 88342 | Tissue or cell analysis by immunologic technique | 7.9K | $538.6K | $67.76 | 2.90x |
| 88341 | Special stained specimen slides to examine tissue | 6.7K | $403.0K | $60.17 | 2.88x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 2.8K | $190.8K | $67.91 | 2.54x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 1.6K | $42.5K | $26.04 | 4.43x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 787 | $39.4K | $50.04 | 2.70x |
| 88344 | Special stained specimen slides to examine tissue | 72 | $10.3K | $143.59 | 2.22x |
| 87101 | Fungal culture (mold or yeast) of skin, hair, or nail | 73 | $753.48 | $10.32 | 1.45x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 12 | $211.80 | $17.65 | 1.59x |
This provider submits charges 3.21 times higher than what Medicare actually pays.
A markup ratio of 3.21x means for every $100 Medicare pays, this provider initially charges $321. 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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