This provider's $6.7M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 68% 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 | $196.36 | $102.95 | 1.91x | $93.41 | $531.1K | 7.2K | 5.6K |
| 2015 | $228.15 | $94.47 | 2.42x | $133.68 | $545.0K | 7.6K | 5.8K |
| 2016 | $233.25 | $95.40 | 2.44x | $137.85 | $566.5K | 8.4K | 6.7K |
| 2017 | $233.63 | $95.02 | 2.46x | $138.61 | $625.7K | 9.3K | 7.4K |
| 2018 | $247.98 | $104.46 | 2.37x | $143.52 | $547.9K | 6.9K | 5.6K |
| 2019 | $272.03 | $126.47 | 2.15x | $145.56 | $684.3K | 7.8K | 6.2K |
| 2020 | $278.75 | $129.72 | 2.15x | $149.03 | $614.0K | 7.2K | 5.9K |
| 2021 | $267.67 | $128.72 | 2.08x | $138.95 | $870.0K | 9.2K | 7.3K |
| 2022 | $246.07 | $111.16 | 2.21x | $134.91 | $816.8K | 9.4K | 7.7K |
| 2023 | $254.58 | $114.51 | 2.22x | $140.07 | $894.8K | 10.6K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 15.4K | $1.5M | $98.76 | 2.59x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.7K | $568.0K | $337.47 | 1.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.4K | $529.7K | $46.26 | 1.98x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 2.2K | $420.2K | $194.34 | 1.77x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.1K | $312.9K | $297.43 | 1.65x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 4.7K | $301.3K | $64.11 | 2.15x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $273.4K | $77.65 | 2.20x |
| 11102 | Tangential biopsy of single skin lesion | 3.8K | $235.3K | $61.57 | 2.36x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.5K | $208.0K | $59.68 | 2.16x |
| 17000 | Destruction of skin growth | 6.3K | $204.0K | $32.25 | 3.04x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 2.3K | $186.4K | $81.33 | 1.90x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 1.7K | $169.7K | $98.09 | 4.07x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 1.6K | $164.3K | $101.92 | 3.49x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 415 | $149.2K | $359.52 | 1.52x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $132.4K | $63.21 | 2.16x |
| 17110 | Destruction of up to 14 skin growths | 2.1K | $132.2K | $63.62 | 2.31x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 360 | $92.1K | $255.81 | 1.67x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 398 | $79.3K | $199.14 | 2.18x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 405 | $71.4K | $176.38 | 2.44x |
| 11622 | Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 722 | $66.7K | $92.36 | 3.73x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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.
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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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