This provider's $3.7M in total Medicare payments ranks in the 97th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 105% 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 | $448.88 | $99.08 | 4.53x | $349.80 | $227.1K | 3.2K | 2.8K |
| 2015 | $530.46 | $113.29 | 4.68x | $417.17 | $207.6K | 3.1K | 2.7K |
| 2016 | $475.84 | $116.00 | 4.10x | $359.84 | $261.5K | 3.5K | 3.1K |
| 2017 | $458.64 | $116.82 | 3.93x | $341.82 | $360.7K | 4.3K | 3.6K |
| 2018 | $445.79 | $115.62 | 3.86x | $330.17 | $472.6K | 5.3K | 4.1K |
| 2019 | $435.10 | $118.34 | 3.68x | $316.76 | $449.1K | 5.3K | 4.2K |
| 2020 | $333.90 | $93.10 | 3.59x | $240.80 | $368.6K | 4.0K | 3.3K |
| 2021 | $453.92 | $131.26 | 3.46x | $322.66 | $468.9K | 4.8K | 4.0K |
| 2022 | $459.46 | $125.94 | 3.65x | $333.52 | $369.9K | 4.5K | 3.9K |
| 2023 | $450.10 | $117.82 | 3.82x | $332.28 | $465.7K | 4.8K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.5K | $784.4K | $82.91 | 3.74x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 1.6K | $484.1K | $293.90 | 2.45x |
| 17110 | Destruction of up to 14 skin growths | 4.2K | $355.8K | $85.53 | 3.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $305.8K | $58.29 | 3.96x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.3K | $256.0K | $76.75 | 4.00x |
| 96573 | Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day | 1.2K | $203.9K | $172.04 | 3.49x |
| 17000 | Destruction of skin growth | 3.9K | $160.8K | $40.88 | 4.66x |
| 11100 | Biopsy of single growth of skin and/or tissue | 1.5K | $112.0K | $74.19 | 4.14x |
| 17004 | Destruction of 15 or more skin growths | 722 | $93.7K | $129.82 | 3.42x |
| 11102 | Tangential biopsy of single skin lesion | 1.3K | $92.9K | $70.81 | 3.97x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 207 | $82.2K | $397.19 | 3.50x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 569 | $72.2K | $126.86 | 3.95x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 197 | $69.6K | $353.12 | 3.48x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 165 | $53.2K | $322.15 | 3.62x |
| 96920 | Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease | 361 | $50.5K | $140.01 | 3.23x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 457 | $44.3K | $96.84 | 4.07x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 238 | $37.5K | $157.68 | 3.59x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 146 | $30.1K | $206.31 | 3.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 922 | $30.0K | $32.51 | 4.23x |
| 12031 | Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs | 151 | $28.8K | $190.97 | 3.75x |
This provider submits charges 3.68 times higher than what Medicare actually pays.
A markup ratio of 3.68x means for every $100 Medicare pays, this provider initially charges $368. 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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