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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Scott Goffin
๐Ÿงด
DOIndividual

Scott Goffin, D.O.

NPI: 1821060351
Great Barrington, MA
10 years of data
Dermatology
$7.4M
Total Payments
76.6K
Beneficiaries
149.6K
Services
2.1x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.4M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $7.4M over 10 years
22.1x markup ratio (above median)
399th percentile in Dermatology by payments
460 services/day โ€” unusually high
52 procedures with >3x markup

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†’

๐Ÿ”Ž Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$162.76$78.932.06x$83.83$942.9K20.0K9.3K
2015$165.39$77.882.12x$87.51$987.3K21.5K10.2K
2016$157.54$73.942.13x$83.60$898.6K19.9K9.8K
2017$152.47$78.811.93x$73.66$908.1K19.5K9.6K
2018$168.61$85.771.97x$82.84$948.7K19.4K9.9K
2019$169.14$82.512.05x$86.63$1.0M19.8K10.0K
2020$167.57$85.331.96x$82.24$531.7K9.6K5.4K
2021$178.64$93.411.91x$85.23$411.8K6.7K4.0K
2022$159.69$83.641.91x$76.05$352.4K6.6K4.3K
2023$152.58$81.991.86x$70.59$349.2K6.7K4.2K

Top Procedures (20)

99213Established patient office or other outpatient visit, typically 15 minutes
$1.6M
27.7K services$58.59/svc1.71x markup
11100Biopsy of single growth of skin and/or tissue
$1.4M
18.5K services$75.41/svc1.99x markup
96910Skin application of tar and ultraviolet B or petrolatum and ultraviolet B
$1.1M
14.3K services$76.05/svc1.71x markup
17000Destruction of skin growthโš  4.0x markup
$749.3K
26.2K services$28.61/svc4.02x markup
11102Tangential biopsy of single skin lesion
$643.8K
8.5K services$75.60/svc2.22x markup
17282Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth
$369.1K
2.3K services$159.35/svc1.82x markup
11101Biopsy of each additional growth of skin and/or tissue
$361.6K
13.7K services$26.42/svc1.89x markup
11103Tangential biopsy of additional skin lesion
$326.9K
7.4K services$44.00/svc1.65x markup
17262Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs
$229.7K
1.9K services$119.00/svc1.93x markup
17272Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals
$181.7K
1.4K services$130.42/svc1.88x markup
17003Destruction of 2-14 skin growthsโš  3.0x markup
$127.7K
24.3K services$5.27/svc3.04x markup
99203New patient office or other outpatient visit, typically 30 minutes
$86.4K
1.1K services$81.24/svc1.78x markup
17110Destruction of up to 14 skin growths
$36.6K
436 services$84.05/svc1.78x markup
17281Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth
$32.7K
355 services$92.08/svc2.50x markup
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs
$32.4K
250 services$129.70/svc1.66x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$25.5K
673 services$37.91/svc1.58x markup
17004Destruction of 15 or more skin growths
$23.2K
177 services$131.09/svc2.29x markup
10060Drainage of abscess
$19.2K
203 services$94.59/svc1.85x markup
17261Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs
$6.9K
114 services$60.67/svc2.97x markup
17271Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals
$5.2K
70 services$73.87/svc2.84x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Established patient office or other outpatient visit, typically 15 minutes27.7K$1.6M$58.591.71x
11100Biopsy of single growth of skin and/or tissue18.5K$1.4M$75.411.99x
96910Skin application of tar and ultraviolet B or petrolatum and ultraviolet B14.3K$1.1M$76.051.71x
17000Destruction of skin growth26.2K$749.3K$28.614.02x
11102Tangential biopsy of single skin lesion8.5K$643.8K$75.602.22x
17282Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth2.3K$369.1K$159.351.82x
11101Biopsy of each additional growth of skin and/or tissue13.7K$361.6K$26.421.89x
11103Tangential biopsy of additional skin lesion7.4K$326.9K$44.001.65x
17262Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs1.9K$229.7K$119.001.93x
17272Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals1.4K$181.7K$130.421.88x
17003Destruction of 2-14 skin growths24.3K$127.7K$5.273.04x
99203New patient office or other outpatient visit, typically 30 minutes1.1K$86.4K$81.241.78x
17110Destruction of up to 14 skin growths436$36.6K$84.051.78x
17281Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth355$32.7K$92.082.50x
11402Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs250$32.4K$129.701.66x
99212Established patient office or other outpatient visit, typically 10 minutes673$25.5K$37.911.58x
17004Destruction of 15 or more skin growths177$23.2K$131.092.29x
10060Drainage of abscess203$19.2K$94.591.85x
17261Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs114$6.9K$60.672.97x
17271Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals70$5.2K$73.872.84x

Markup Analysis

Charge-to-Payment Ratio

2.1x

This provider submits charges 2.1 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.1x means for every $100 Medicare pays, this provider initially charges $210. This is higher than the national average.

Location

Great Barrington, MA

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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