This provider's $10.9M 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 | $473.97 | $206.82 | 2.29x | $267.15 | $1.1M | 7.6K | 6.2K |
| 2015 | $497.76 | $216.86 | 2.30x | $280.90 | $1.3M | 9.0K | 7.2K |
| 2016 | $515.26 | $203.72 | 2.53x | $311.54 | $1.4M | 10.2K | 8.2K |
| 2017 | $461.82 | $197.00 | 2.34x | $264.82 | $1.2M | 8.3K | 6.8K |
| 2018 | $457.04 | $193.55 | 2.36x | $263.49 | $1.1M | 7.7K | 6.4K |
| 2019 | $591.24 | $249.13 | 2.37x | $342.11 | $976.7K | 6.5K | 5.5K |
| 2020 | $550.88 | $232.61 | 2.37x | $318.27 | $898.1K | 5.5K | 4.8K |
| 2021 | $476.56 | $197.91 | 2.41x | $278.65 | $860.0K | 5.2K | 4.6K |
| 2022 | $480.99 | $207.69 | 2.32x | $273.30 | $941.0K | 5.4K | 4.5K |
| 2023 | $495.89 | $203.78 | 2.43x | $292.11 | $1.1M | 5.4K | 4.3K |
| 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) | 8.3K | $2.8M | $332.81 | 2.84x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 2.0K | $1.4M | $693.17 | 2.32x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 960 | $703.8K | $733.16 | 2.18x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.7K | $580.8K | $348.81 | 2.56x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 769 | $523.8K | $681.18 | 1.91x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.7K | $482.3K | $284.89 | 2.31x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.5K | $414.0K | $163.11 | 3.75x |
| Q4194 | Novachor, per square centimeter | 488 | $393.2K | $805.66 | 1.48x |
| 88331 | Pathology examination of tissue during surgery | 5.3K | $371.1K | $70.41 | 1.98x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $345.5K | $47.62 | 1.98x |
| 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 | 531 | $334.9K | $630.74 | 1.92x |
| Q4159 | Affinity, per square centimeter | 647 | $306.2K | $473.31 | 1.52x |
| 17000 | Destruction of skin growth | 7.7K | $209.2K | $27.27 | 3.84x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.9K | $203.6K | $70.05 | 1.98x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 289 | $179.8K | $622.14 | 1.93x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.4K | $167.8K | $49.80 | 3.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $155.3K | $83.00 | 1.69x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 774 | $129.9K | $167.88 | 4.01x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 769 | $123.6K | $160.69 | 3.42x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 248 | $110.3K | $444.71 | 2.23x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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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