This provider's $9.7M 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 | $255.68 | $144.08 | 1.77x | $111.60 | $1.8M | 8.9K | 4.1K |
| 2015 | $260.64 | $146.28 | 1.78x | $114.36 | $1.5M | 9.0K | 4.4K |
| 2016 | $210.26 | $113.86 | 1.85x | $96.40 | $796.0K | 9.3K | 4.3K |
| 2017 | $188.57 | $100.47 | 1.88x | $88.10 | $698.4K | 8.5K | 3.9K |
| 2018 | $197.72 | $108.05 | 1.83x | $89.67 | $726.3K | 7.9K | 3.7K |
| 2019 | $206.06 | $106.05 | 1.94x | $100.01 | $779.8K | 7.9K | 3.9K |
| 2020 | $219.15 | $140.81 | 1.56x | $78.34 | $913.8K | 7.5K | 3.5K |
| 2021 | $207.54 | $129.85 | 1.60x | $77.69 | $965.9K | 7.6K | 3.6K |
| 2022 | $220.41 | $138.22 | 1.59x | $82.19 | $863.2K | 6.6K | 3.3K |
| 2023 | $229.88 | $140.66 | 1.63x | $89.22 | $777.0K | 5.8K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0182T | High dose rate electronic brachytherapy | 1.3K | $1.9M | $1.5K | 1.73x |
| 17004 | Destruction of 15 or more skin growths | 14.0K | $1.7M | $118.43 | 1.58x |
| 17110 | Destruction of up to 14 skin growths | 13.9K | $1.3M | $90.72 | 1.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.4K | $838.7K | $58.38 | 1.46x |
| 77600 | External hyperthermia treatment depth 4 cm or less | 1.4K | $586.7K | $423.04 | 1.34x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.9K | $546.8K | $284.65 | 1.42x |
| 77280 | Management of radiation therapy simulation, simple | 2.4K | $542.5K | $230.56 | 1.36x |
| 0394T | High dose rate electronic brachytherapy | 3.0K | $379.0K | $126.56 | 2.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.0K | $332.6K | $83.65 | 1.51x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6.5K | $262.5K | $40.25 | 2.80x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 1.1K | $194.1K | $168.77 | 1.52x |
| 11100 | Biopsy of single growth of skin and/or tissue | 2.3K | $117.6K | $50.55 | 2.25x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 212 | $110.5K | $521.08 | 1.62x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 417 | $104.6K | $250.79 | 1.94x |
| 11102 | Tangential biopsy of single skin lesion | 1.7K | $96.5K | $56.76 | 2.20x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 496 | $60.4K | $121.86 | 1.62x |
| 96574 | Application of light with debridement to destroy precancer skin growth | 274 | $58.0K | $211.81 | 1.89x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 502 | $54.0K | $107.49 | 1.57x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 171 | $51.3K | $300.29 | 1.94x |
| 17000 | Destruction of skin growth | 1.1K | $47.0K | $42.36 | 2.00x |
This provider submits charges 1.63 times higher than what Medicare actually pays.
A markup ratio of 1.63x means for every $100 Medicare pays, this provider initially charges $163. This is lower 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.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ Clear |
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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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