This provider averages 60 services per working day
Based on 149.6K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $162.76 | $78.93 | 2.06x | $83.83 | $942.9K | 20.0K | 9.3K |
| 2015 | $165.39 | $77.88 | 2.12x | $87.51 | $987.3K | 21.5K | 10.2K |
| 2016 | $157.54 | $73.94 | 2.13x | $83.60 | $898.6K | 19.9K | 9.8K |
| 2017 | $152.47 | $78.81 | 1.93x | $73.66 | $908.1K | 19.5K | 9.6K |
| 2018 | $168.61 | $85.77 | 1.97x | $82.84 | $948.7K | 19.4K | 9.9K |
| 2019 | $169.14 | $82.51 | 2.05x | $86.63 | $1.0M | 19.8K | 10.0K |
| 2020 | $167.57 | $85.33 | 1.96x | $82.24 | $531.7K | 9.6K | 5.4K |
| 2021 | $178.64 | $93.41 | 1.91x | $85.23 | $411.8K | 6.7K | 4.0K |
| 2022 | $159.69 | $83.64 | 1.91x | $76.05 | $352.4K | 6.6K | 4.3K |
| 2023 | $152.58 | $81.99 | 1.86x | $70.59 | $349.2K | 6.7K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.7K | $1.6M | $58.59 | 1.71x |
| 11100 | Biopsy of single growth of skin and/or tissue | 18.5K | $1.4M | $75.41 | 1.99x |
| 96910 | Skin application of tar and ultraviolet B or petrolatum and ultraviolet B | 14.3K | $1.1M | $76.05 | 1.71x |
| 17000 | Destruction of skin growth | 26.2K | $749.3K | $28.61 | 4.02x |
| 11102 | Tangential biopsy of single skin lesion | 8.5K | $643.8K | $75.60 | 2.22x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 2.3K | $369.1K | $159.35 | 1.82x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 13.7K | $361.6K | $26.42 | 1.89x |
| 11103 | Tangential biopsy of additional skin lesion | 7.4K | $326.9K | $44.00 | 1.65x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.9K | $229.7K | $119.00 | 1.93x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 1.4K | $181.7K | $130.42 | 1.88x |
| 17003 | Destruction of 2-14 skin growths | 24.3K | $127.7K | $5.27 | 3.04x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $86.4K | $81.24 | 1.78x |
| 17110 | Destruction of up to 14 skin growths | 436 | $36.6K | $84.05 | 1.78x |
| 17281 | Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 355 | $32.7K | $92.08 | 2.50x |
| 11402 | Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 250 | $32.4K | $129.70 | 1.66x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 673 | $25.5K | $37.91 | 1.58x |
| 17004 | Destruction of 15 or more skin growths | 177 | $23.2K | $131.09 | 2.29x |
| 10060 | Drainage of abscess | 203 | $19.2K | $94.59 | 1.85x |
| 17261 | Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs | 114 | $6.9K | $60.67 | 2.97x |
| 17271 | Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals | 70 | $5.2K | $73.87 | 2.84x |
This provider submits charges 2.1 times higher than what Medicare actually pays.
A markup ratio of 2.1x means for every $100 Medicare pays, this provider initially charges $210. 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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