This provider averages 66 services per working day
Based on 165.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 66 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 190% from 2014 to 2023.
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 | $313.38 | $109.61 | 2.86x | $203.77 | $496.0K | 9.4K | 7.7K |
| 2015 | $274.38 | $101.71 | 2.70x | $172.67 | $506.4K | 9.9K | 8.2K |
| 2016 | $274.39 | $94.90 | 2.89x | $179.49 | $622.2K | 11.4K | 9.6K |
| 2017 | $294.62 | $108.11 | 2.73x | $186.51 | $894.9K | 16.7K | 13.3K |
| 2018 | $334.46 | $131.64 | 2.54x | $202.82 | $934.8K | 17.0K | 13.6K |
| 2019 | $336.83 | $131.41 | 2.56x | $205.42 | $1.1M | 18.5K | 14.9K |
| 2020 | $327.10 | $128.93 | 2.54x | $198.17 | $1.2M | 19.4K | 15.3K |
| 2021 | $336.49 | $143.03 | 2.35x | $193.46 | $1.3M | 20.4K | 16.0K |
| 2022 | $313.02 | $126.76 | 2.47x | $186.26 | $1.3M | 20.3K | 15.8K |
| 2023 | $357.82 | $145.28 | 2.46x | $212.54 | $1.4M | 22.6K | 17.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 40.8K | $2.2M | $54.19 | 2.13x |
| 17000 | Destruction of skin growth | 25.3K | $979.6K | $38.73 | 2.80x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.0K | $895.1K | $458.06 | 2.30x |
| 17110 | Destruction of up to 14 skin growths | 7.8K | $580.9K | $74.50 | 2.35x |
| 11102 | Tangential biopsy of single skin lesion | 7.9K | $501.4K | $63.63 | 4.68x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.9K | $418.3K | $220.73 | 2.20x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 17.1K | $392.1K | $22.97 | 7.31x |
| 17004 | Destruction of 15 or more skin growths | 3.5K | $380.5K | $108.80 | 2.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $348.9K | $75.88 | 2.21x |
| 11100 | Biopsy of single growth of skin and/or tissue | 5.1K | $336.1K | $66.37 | 2.46x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.0K | $230.7K | $32.97 | 2.10x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.3K | $206.9K | $163.55 | 2.90x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 633 | $199.4K | $314.94 | 1.97x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 3.4K | $166.8K | $49.25 | 2.40x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $150.5K | $73.98 | 2.32x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 1.2K | $138.9K | $111.64 | 2.21x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 1.2K | $124.3K | $100.86 | 3.94x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 409 | $108.5K | $265.34 | 2.23x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 491 | $101.5K | $206.70 | 2.24x |
| 17003 | Destruction of 2-14 skin growths | 18.1K | $82.7K | $4.56 | 2.84x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data