This provider's $3.7M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 778% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 314% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $289.14 | $98.20 | 2.94x | $190.94 | $63.4K | 800 | 767 |
| 2015 | $390.97 | $114.74 | 3.41x | $276.23 | $262.6K | 2.0K | 1.7K |
| 2016 | $563.55 | $144.20 | 3.91x | $419.35 | $438.9K | 2.7K | 2.3K |
| 2017 | $551.13 | $147.81 | 3.73x | $403.32 | $454.6K | 2.5K | 2.2K |
| 2018 | $504.07 | $140.44 | 3.59x | $363.63 | $333.6K | 1.6K | 1.5K |
| 2019 | $551.71 | $152.73 | 3.61x | $398.98 | $441.0K | 1.8K | 1.5K |
| 2020 | $554.98 | $150.40 | 3.69x | $404.58 | $360.0K | 1.6K | 1.4K |
| 2021 | $535.96 | $151.15 | 3.55x | $384.81 | $352.7K | 1.8K | 1.5K |
| 2022 | $556.25 | $144.95 | 3.84x | $411.30 | $390.1K | 2.5K | 1.8K |
| 2023 | $614.92 | $197.65 | 3.11x | $417.27 | $557.0K | 2.0K | 1.5K |
| 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) | 4.0K | $1.9M | $475.83 | 3.21x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.5K | $440.3K | $288.15 | 3.11x |
| Q4194 | Novachor, per square centimeter | 294 | $237.2K | $806.69 | 1.31x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 660 | $138.2K | $209.39 | 5.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $118.6K | $70.66 | 3.73x |
| Q4197 | Puraply xt, per square centimeter | 480 | $93.6K | $194.98 | 1.31x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 200 | $89.0K | $445.12 | 3.22x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.6K | $79.2K | $49.59 | 3.51x |
| 17110 | Destruction of up to 14 skin growths | 1.0K | $72.3K | $69.95 | 3.62x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 928 | $59.8K | $64.49 | 3.79x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 705 | $58.8K | $83.44 | 4.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $57.4K | $46.30 | 3.63x |
| 11100 | Biopsy of single growth of skin and/or tissue | 815 | $51.0K | $62.59 | 3.68x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 190 | $50.9K | $267.75 | 3.70x |
| 11102 | Tangential biopsy of single skin lesion | 837 | $48.0K | $57.41 | 4.28x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 702 | $27.1K | $38.64 | 3.15x |
| 17000 | Destruction of skin growth | 759 | $24.7K | $32.56 | 4.79x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 90 | $24.4K | $271.63 | 3.38x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 106 | $11.5K | $108.16 | 6.06x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 45 | $8.9K | $198.24 | 5.95x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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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