This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 182% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 104% in 2021
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 | $545.30 | $217.65 | 2.51x | $327.65 | $614.5K | 4.7K | 3.2K |
| 2015 | $441.61 | $210.82 | 2.09x | $230.79 | $547.0K | 4.2K | 2.9K |
| 2016 | $407.34 | $200.20 | 2.03x | $207.14 | $595.7K | 4.1K | 3.2K |
| 2017 | $325.12 | $160.44 | 2.03x | $164.68 | $777.1K | 6.5K | 4.0K |
| 2018 | $318.43 | $158.72 | 2.01x | $159.71 | $960.5K | 9.0K | 4.0K |
| 2019 | $309.50 | $156.98 | 1.97x | $152.52 | $1.1M | 9.8K | 3.9K |
| 2020 | $313.18 | $153.47 | 2.04x | $159.71 | $916.2K | 8.0K | 3.4K |
| 2021 | $347.20 | $164.94 | 2.11x | $182.26 | $1.9M | 13.0K | 4.5K |
| 2022 | $326.43 | $151.03 | 2.16x | $175.40 | $1.7M | 12.6K | 4.3K |
| 2023 | $402.53 | $191.97 | 2.10x | $210.56 | $1.7M | 12.8K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 11.7K | $2.6M | $219.21 | 1.80x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 12.6K | $1.3M | $100.25 | 1.79x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.1K | $929.0K | $438.22 | 2.31x |
| 17004 | Destruction of 15 or more skin growths | 3.6K | $414.7K | $116.57 | 2.04x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.3K | $386.9K | $290.48 | 1.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.6K | $359.8K | $54.86 | 2.15x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 749 | $315.9K | $421.81 | 2.21x |
| 77401 | Radiation treatment delivery, superficial | 11.3K | $308.4K | $27.32 | 1.76x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.9K | $306.3K | $78.74 | 2.11x |
| 77427 | Radiation treatment management, 5 treatments | 1.6K | $243.4K | $149.53 | 1.87x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 747 | $237.0K | $317.32 | 1.90x |
| Q4180 | Revita, per square centimeter | 1.1K | $231.5K | $210.45 | 1.35x |
| 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 | 281 | $209.2K | $744.46 | 1.91x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 252 | $152.5K | $605.33 | 1.93x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 681 | $150.7K | $221.32 | 3.34x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 308 | $124.9K | $405.54 | 1.97x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 576 | $124.4K | $216.04 | 2.97x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 143 | $124.4K | $869.96 | 1.93x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 680 | $124.0K | $182.41 | 1.97x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.6K | $116.8K | $73.81 | 2.12x |
This provider submits charges 1.99 times higher than what Medicare actually pays.
A markup ratio of 1.99x means for every $100 Medicare pays, this provider initially charges $199. This is lower 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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