This provider's $5.7M in total Medicare payments ranks in the 98th 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 | $965.70 | $211.34 | 4.57x | $754.36 | $572.3K | 4.3K | 3.4K |
| 2015 | $1.1K | $235.44 | 4.68x | $865.46 | $602.7K | 2.8K | 2.3K |
| 2016 | $790.80 | $210.31 | 3.76x | $580.49 | $435.5K | 2.1K | 1.6K |
| 2017 | $642.57 | $188.93 | 3.40x | $453.64 | $529.8K | 2.7K | 2.0K |
| 2018 | $700.50 | $187.59 | 3.73x | $512.91 | $506.4K | 3.1K | 2.3K |
| 2019 | $800.17 | $213.97 | 3.74x | $586.20 | $592.6K | 2.9K | 2.1K |
| 2020 | $835.66 | $230.46 | 3.63x | $605.20 | $584.9K | 2.9K | 2.1K |
| 2021 | $721.66 | $197.80 | 3.65x | $523.86 | $707.3K | 3.9K | 2.8K |
| 2022 | $586.71 | $151.38 | 3.88x | $435.33 | $629.8K | 3.7K | 2.8K |
| 2023 | $644.92 | $161.94 | 3.98x | $482.98 | $569.2K | 3.2K | 2.4K |
| 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) | 4.6K | $2.1M | $455.40 | 3.78x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.9K | $564.0K | $290.87 | 3.00x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.5K | $462.3K | $305.58 | 3.27x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.0K | $456.0K | $436.77 | 3.56x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 313 | $180.8K | $577.72 | 3.60x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 921 | $172.5K | $187.32 | 6.65x |
| 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 | 235 | $168.5K | $716.93 | 3.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.0K | $162.8K | $54.36 | 3.55x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 746 | $155.2K | $208.03 | 3.34x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.7K | $151.1K | $90.38 | 3.79x |
| 17000 | Destruction of skin growth | 2.5K | $91.8K | $36.68 | 5.19x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 149 | $85.6K | $574.69 | 3.50x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 457 | $79.6K | $174.26 | 6.19x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 113 | $75.2K | $665.05 | 3.45x |
| Q4131 | Epifix, per square centimeter | 495 | $67.2K | $135.84 | 3.19x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.9K | $66.7K | $35.40 | 3.06x |
| 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) | 755 | $56.0K | $74.20 | 5.90x |
| 11100 | Biopsy of single growth of skin and/or tissue | 779 | $53.6K | $68.85 | 4.21x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 62 | $51.9K | $837.21 | 3.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 605 | $48.2K | $79.71 | 3.31x |
This provider submits charges 3.8 times higher than what Medicare actually pays.
A markup ratio of 3.8x means for every $100 Medicare pays, this provider initially charges $380. 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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