This provider's $6.2M 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 | $549.11 | $230.48 | 2.38x | $318.63 | $705.7K | 8.4K | 6.3K |
| 2015 | $453.46 | $189.65 | 2.39x | $263.81 | $622.6K | 8.0K | 6.1K |
| 2016 | $473.11 | $205.32 | 2.30x | $267.79 | $648.6K | 7.7K | 6.0K |
| 2017 | $490.00 | $218.62 | 2.24x | $271.38 | $662.1K | 8.4K | 6.5K |
| 2018 | $589.02 | $234.21 | 2.51x | $354.81 | $684.8K | 7.0K | 5.4K |
| 2019 | $599.98 | $237.30 | 2.53x | $362.68 | $836.8K | 7.1K | 5.6K |
| 2020 | $1.0K | $230.53 | 4.52x | $812.21 | $682.2K | 5.4K | 4.2K |
| 2021 | $1.2K | $266.12 | 4.39x | $903.20 | $481.0K | 3.4K | 2.7K |
| 2022 | $1.1K | $242.94 | 4.62x | $880.58 | $444.6K | 3.0K | 2.6K |
| 2023 | $1.2K | $274.73 | 4.53x | $970.97 | $381.9K | 1.8K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 820 | $611.7K | $745.99 | 3.31x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 1.9K | $559.3K | $298.61 | 5.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.2K | $553.9K | $54.25 | 3.12x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 674 | $471.7K | $699.92 | 3.25x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 752 | $458.9K | $610.22 | 2.27x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 476 | $391.5K | $822.41 | 2.43x |
| 17000 | Destruction of skin growth | 8.9K | $355.2K | $39.70 | 3.69x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 10.5K | $307.2K | $29.32 | 2.22x |
| 17110 | Destruction of up to 14 skin growths | 4.0K | $299.8K | $75.49 | 3.06x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 445 | $246.0K | $552.78 | 2.26x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.5K | $224.8K | $64.28 | 2.67x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 582 | $186.3K | $320.14 | 3.04x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 276 | $180.2K | $652.76 | 3.05x |
| 14000 | Tissue transfer repair of wound (10 sq centimeters or less) of the trunk | 263 | $129.3K | $491.82 | 2.18x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 1.6K | $118.6K | $75.69 | 3.91x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 184 | $110.8K | $602.35 | 2.24x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 398 | $89.0K | $223.62 | 2.78x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.7K | $84.7K | $48.48 | 2.33x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 106 | $83.6K | $788.80 | 3.64x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.1K | $83.5K | $74.48 | 2.81x |
This provider submits charges 3.23 times higher than what Medicare actually pays.
A markup ratio of 3.23x means for every $100 Medicare pays, this provider initially charges $323. 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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