This provider's $9.2M 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 | $500.43 | $242.98 | 2.06x | $257.45 | $1.2M | 10.0K | 8.1K |
| 2015 | $574.72 | $280.19 | 2.05x | $294.53 | $1.2M | 10.3K | 7.9K |
| 2016 | $537.89 | $255.98 | 2.10x | $281.91 | $1.2M | 10.2K | 7.7K |
| 2017 | $557.98 | $252.34 | 2.21x | $305.64 | $982.9K | 8.5K | 6.6K |
| 2018 | $568.64 | $254.95 | 2.23x | $313.69 | $894.2K | 7.5K | 5.9K |
| 2019 | $481.13 | $209.47 | 2.30x | $271.66 | $817.7K | 7.1K | 5.4K |
| 2020 | $500.33 | $226.03 | 2.21x | $274.30 | $678.3K | 6.1K | 4.8K |
| 2021 | $615.36 | $241.35 | 2.55x | $374.01 | $746.1K | 6.0K | 4.6K |
| 2022 | $723.76 | $188.23 | 3.85x | $535.53 | $696.9K | 6.2K | 4.7K |
| 2023 | $807.94 | $191.43 | 4.22x | $616.51 | $714.2K | 6.7K | 4.9K |
| 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) | 3.3K | $1.4M | $423.67 | 2.97x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 2.2K | $758.9K | $342.94 | 2.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.7K | $740.2K | $85.51 | 2.00x |
| 11100 | Biopsy of single growth of skin and/or tissue | 8.7K | $726.8K | $83.72 | 2.19x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.6K | $553.1K | $212.25 | 3.24x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 534 | $496.7K | $930.15 | 2.02x |
| 11102 | Tangential biopsy of single skin lesion | 5.7K | $475.2K | $83.64 | 3.31x |
| 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 | 574 | $463.8K | $807.97 | 1.92x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 578 | $429.0K | $742.27 | 1.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.6K | $413.2K | $62.43 | 2.38x |
| 17000 | Destruction of skin growth | 8.4K | $303.6K | $36.05 | 4.71x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 199 | $170.7K | $857.92 | 1.96x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 251 | $170.3K | $678.51 | 1.92x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 197 | $167.9K | $852.08 | 2.22x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 5.9K | $163.6K | $27.68 | 1.91x |
| 11103 | Tangential biopsy of additional skin lesion | 3.5K | $163.5K | $46.25 | 3.08x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 594 | $155.8K | $262.26 | 2.22x |
| 11606 | Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs | 343 | $130.9K | $381.49 | 2.23x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $103.7K | $81.01 | 2.51x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 732 | $103.6K | $141.58 | 3.54x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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