This provider averages 82 services per working day
Based on 204.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.6M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 82 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 127% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $328.73 | $106.07 | 3.10x | $222.66 | $1.3M | 12.5K | 33 |
| 2015 | $287.08 | $100.38 | 2.86x | $186.70 | $1.5M | 14.9K | 39 |
| 2016 | $282.37 | $92.57 | 3.05x | $189.80 | $1.6M | 17.3K | 40 |
| 2017 | $303.10 | $93.62 | 3.24x | $209.48 | $1.6M | 17.2K | 41 |
| 2018 | $366.19 | $122.61 | 2.99x | $243.58 | $1.9M | 15.4K | 43 |
| 2019 | $362.30 | $115.84 | 3.13x | $246.46 | $1.7M | 14.4K | 44 |
| 2020 | $314.35 | $116.72 | 2.69x | $197.63 | $2.1M | 17.9K | 44 |
| 2021 | $285.14 | $120.94 | 2.36x | $164.20 | $2.6M | 21.4K | 47 |
| 2022 | $265.52 | $120.02 | 2.21x | $145.50 | $3.3M | 27.7K | 45 |
| 2023 | $144.87 | $65.16 | 2.22x | $79.71 | $3.0M | 46.0K | 43 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J3245 | Injection, tildrakizumab, 1 mg | 48.0K | $5.2M | $108.82 | 1.43x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 7.0K | $3.7M | $522.68 | 3.27x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 5.7K | $1.9M | $334.25 | 2.42x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 22.0K | $1.1M | $51.74 | 4.11x |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 10.4K | $845.8K | $80.99 | 1.75x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 1.6K | $786.7K | $501.42 | 3.39x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 10.1K | $555.4K | $54.96 | 2.77x |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 2.5K | $526.9K | $210.07 | 5.31x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.7K | $523.7K | $77.67 | 2.68x |
| 17110 | Destruction of skin growth, 1-14 growths | 4.4K | $349.0K | $79.58 | 2.81x |
| Q4159 | Affinity, per square centimeter | 962 | $337.6K | $350.89 | 3.13x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 1.5K | $328.6K | $223.83 | 4.06x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.5K | $318.4K | $70.97 | 2.86x |
| Q4186 | Epifix, per square centimeter | 2.5K | $312.4K | $123.97 | 2.01x |
| 96920 | Treatment of inflammatory skin disease using laser, less than 250.0 sq cm | 2.3K | $293.1K | $127.72 | 1.75x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 999 | $283.3K | $283.59 | 2.05x |
| 15260 | Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | 319 | $272.8K | $855.25 | 2.51x |
| 17000 | Destruction of precancer skin growth, 1 growth | 7.3K | $271.1K | $36.99 | 3.73x |
| 17314 | Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks | 704 | $226.3K | $321.47 | 2.31x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 4.0K | $139.3K | $34.84 | 3.18x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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