โ ๏ธ This provider averages 495 services per working day โ physically unusual for an individual practitioner
Based on 1.2M total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $35.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 495 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 154% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $47.77 | $24.35 | 1.96x | $23.42 | $2.2M | 88.8K | 36 |
| 2015 | $50.05 | $22.55 | 2.22x | $27.50 | $2.0M | 87.8K | 41 |
| 2016 | $56.55 | $24.17 | 2.34x | $32.38 | $2.3M | 95.5K | 40 |
| 2017 | $63.56 | $27.14 | 2.34x | $36.42 | $3.2M | 117.0K | 52 |
| 2018 | $63.18 | $26.22 | 2.41x | $36.96 | $3.4M | 131.1K | 55 |
| 2019 | $66.15 | $28.66 | 2.31x | $37.49 | $4.1M | 143.6K | 61 |
| 2020 | $65.46 | $29.56 | 2.21x | $35.90 | $3.9M | 133.2K | 55 |
| 2021 | $69.72 | $33.16 | 2.10x | $36.56 | $4.7M | 142.7K | 61 |
| 2022 | $80.77 | $31.83 | 2.54x | $48.94 | $4.3M | 134.3K | 60 |
| 2023 | $87.39 | $33.82 | 2.58x | $53.57 | $5.5M | 162.6K | 61 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 857.8K | $4.6M | $5.35 | 2.57x |
| 17110 | Destruction of skin growth, 1-14 growths | 61.3K | $3.6M | $59.25 | 2.49x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35.2K | $3.5M | $98.09 | 1.54x |
| 10061 | Complicated or multiple drainage of skin abscess | 19.5K | $2.9M | $148.28 | 1.76x |
| 17000 | Destruction of precancer skin growth, 1 growth | 68.7K | $2.0M | $28.53 | 3.88x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32.9K | $1.9M | $58.70 | 1.58x |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 4.3K | $1.7M | $400.02 | 2.02x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 3.7K | $1.3M | $360.09 | 1.75x |
| 11401 | Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm | 14.5K | $1.1M | $76.19 | 2.71x |
| 11642 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 6.2K | $969.3K | $157.09 | 2.49x |
| 11402 | Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | 11.0K | $938.4K | $85.11 | 2.70x |
| 11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 16.7K | $905.5K | $54.16 | 3.33x |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 5.7K | $810.8K | $141.58 | 2.41x |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 1.9K | $634.5K | $333.77 | 1.70x |
| 11441 | Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 6.4K | $587.9K | $91.85 | 2.55x |
| 11442 | Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 5.6K | $565.4K | $101.70 | 2.62x |
| 11421 | Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm | 7.0K | $544.4K | $77.79 | 2.75x |
| 17106 | Destruction of birthmark, less than 10.0 sq cm | 1.9K | $528.8K | $273.16 | 2.05x |
| 11622 | Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 3.2K | $489.0K | $150.60 | 2.38x |
| 17282 | Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 3.9K | $466.3K | $118.57 | 2.45x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. This is higher 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.
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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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