This provider's $4.2M in total Medicare payments ranks in the 97th 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 | $111.22 | $69.27 | 1.61x | $41.95 | $390.8K | 4.9K | 2.0K |
| 2015 | $111.23 | $67.94 | 1.64x | $43.29 | $395.0K | 4.8K | 1.8K |
| 2016 | $101.42 | $62.66 | 1.62x | $38.76 | $423.6K | 5.3K | 2.0K |
| 2017 | $113.42 | $72.33 | 1.57x | $41.09 | $514.8K | 6.2K | 2.2K |
| 2018 | $111.92 | $70.28 | 1.59x | $41.64 | $415.8K | 6.6K | 2.6K |
| 2019 | $110.11 | $66.77 | 1.65x | $43.34 | $401.3K | 8.7K | 2.8K |
| 2020 | $118.19 | $71.24 | 1.66x | $46.95 | $401.0K | 7.5K | 2.5K |
| 2021 | $129.89 | $80.28 | 1.62x | $49.61 | $424.1K | 7.6K | 2.3K |
| 2022 | $132.16 | $80.24 | 1.65x | $51.92 | $381.1K | 7.1K | 2.4K |
| 2023 | $130.36 | $79.33 | 1.64x | $51.03 | $473.5K | 6.7K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 13.3K | $1.6M | $119.40 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.9K | $1.1M | $57.34 | 1.74x |
| 17110 | Destruction of up to 14 skin growths | 8.1K | $732.8K | $90.88 | 1.50x |
| 17000 | Destruction of skin growth | 10.5K | $421.9K | $40.17 | 2.44x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $94.5K | $69.67 | 1.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 665 | $53.6K | $80.61 | 1.49x |
| 17003 | Destruction of 2-14 skin growths | 9.8K | $48.6K | $4.93 | 2.65x |
| 11100 | Biopsy of single growth of skin and/or tissue | 521 | $43.2K | $82.99 | 1.54x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 258 | $27.9K | $108.27 | 1.43x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 250 | $20.9K | $83.74 | 1.41x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 121 | $11.1K | $91.40 | 1.64x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 187 | $8.8K | $47.24 | 2.33x |
| 11310 | Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth | 84 | $6.6K | $79.06 | 1.40x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 58 | $5.5K | $94.09 | 1.33x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 32 | $3.9K | $122.62 | 1.74x |
| 11300 | Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs | 48 | $2.7K | $55.32 | 1.63x |
| 99423 | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes | 64 | $2.3K | $36.35 | 3.30x |
| 11101 | Biopsy of each additional growth of skin and/or tissue | 68 | $1.8K | $26.40 | 1.63x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 30 | $1.8K | $59.69 | 1.54x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 13 | $1.4K | $108.05 | 1.35x |
This provider submits charges 1.68 times higher than what Medicare actually pays.
A markup ratio of 1.68x means for every $100 Medicare pays, this provider initially charges $168. 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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