This provider's $15.6M in total Medicare payments ranks in the 98th percentile of Micrographic Dermatologic Surgery providers nationally.
Medicare payments to this provider grew 20785% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 696% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $144.24 | $50.17 | 2.88x | $94.07 | $17.9K | 357 | 8 |
| 2019 | $205.08 | $64.31 | 3.19x | $140.77 | $110.3K | 1.7K | 14 |
| 2020 | $328.86 | $127.35 | 2.58x | $201.51 | $835.5K | 6.6K | 28 |
| 2021 | $544.01 | $276.44 | 1.97x | $267.57 | $6.6M | 24.0K | 36 |
| 2022 | $351.33 | $207.00 | 1.70x | $144.33 | $4.2M | 20.5K | 35 |
| 2023 | $379.85 | $182.92 | 2.08x | $196.93 | $3.7M | 20.4K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4197 | Puraply xt, per square centimeter | 19.3K | $4.1M | $210.42 | 1.75x |
| Q4159 | Affinity, per square centimeter | 4.5K | $3.8M | $848.00 | 1.52x |
| Q4194 | Novachor, per square centimeter | 1.5K | $1.2M | $813.88 | 1.30x |
| Q4244 | Procenta, per 200 mg | 123 | $949.3K | $7.7K | 1.31x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 4.1K | $872.8K | $212.88 | 2.55x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1.6K | $775.4K | $488.59 | 2.85x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 4.1K | $580.7K | $140.87 | 2.56x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 847 | $401.5K | $474.02 | 2.77x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.1K | $285.2K | $93.30 | 2.78x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 704 | $236.9K | $336.47 | 2.48x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.1K | $198.7K | $65.14 | 2.80x |
| 11102 | Biopsy of related skin growth, first growth | 2.6K | $184.5K | $70.79 | 3.05x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 144 | $168.6K | $1.2K | 1.28x |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 4.0K | $130.9K | $32.41 | 2.55x |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 198 | $124.7K | $629.71 | 2.49x |
| 17000 | Destruction of precancer skin growth, 1 growth | 3.4K | $124.4K | $36.52 | 3.79x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 350 | $102.1K | $291.78 | 3.13x |
| 17110 | Destruction of skin growth, 1-14 growths | 1.2K | $101.0K | $84.38 | 2.78x |
| 11103 | Biopsy of related skin growth, each additional growth | 2.3K | $97.5K | $43.12 | 2.56x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 708 | $89.9K | $127.00 | 2.67x |
This provider submits charges 1.96 times higher than what Medicare actually pays.
A markup ratio of 1.96x means for every $100 Medicare pays, this provider initially charges $196. This is lower 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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