This provider's $7.0M in total Medicare payments ranks in the 98th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 53% 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 | $286.61 | $101.70 | 2.82x | $184.91 | $428.9K | 5.7K | 3.1K |
| 2015 | $175.25 | $102.61 | 1.71x | $72.64 | $524.6K | 6.9K | 3.7K |
| 2016 | $185.00 | $106.62 | 1.74x | $78.38 | $616.4K | 8.3K | 4.5K |
| 2017 | $172.96 | $100.97 | 1.71x | $71.99 | $713.2K | 9.3K | 5.0K |
| 2018 | $178.75 | $102.89 | 1.74x | $75.86 | $758.9K | 9.8K | 5.2K |
| 2019 | $179.66 | $108.16 | 1.66x | $71.50 | $885.1K | 10.6K | 5.7K |
| 2020 | $166.58 | $102.82 | 1.62x | $63.76 | $810.7K | 9.5K | 5.2K |
| 2021 | $166.92 | $106.52 | 1.57x | $60.40 | $871.6K | 9.3K | 5.0K |
| 2022 | $178.56 | $105.88 | 1.69x | $72.68 | $693.1K | 7.5K | 4.7K |
| 2023 | $156.25 | $99.73 | 1.57x | $56.52 | $654.6K | 7.0K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17004 | Destruction of 15 or more skin growths | 26.0K | $3.0M | $116.52 | 1.56x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 29.1K | $1.6M | $54.57 | 1.58x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.6K | $371.1K | $80.15 | 1.64x |
| 11301 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs | 2.8K | $254.3K | $91.47 | 1.51x |
| 17282 | Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth | 1.2K | $184.0K | $153.11 | 1.63x |
| 11311 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth | 1.8K | $179.6K | $101.13 | 1.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.4K | $173.0K | $70.65 | 1.84x |
| 17000 | Destruction of skin growth | 3.4K | $156.0K | $46.34 | 2.02x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 969 | $127.1K | $131.12 | 1.61x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 523 | $121.5K | $232.34 | 1.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $103.4K | $82.78 | 1.47x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.0K | $94.0K | $93.28 | 1.51x |
| 17272 | Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals | 652 | $91.3K | $140.00 | 1.59x |
| 11102 | Tangential biopsy of single skin lesion | 1.1K | $84.8K | $77.05 | 1.54x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 610 | $68.5K | $112.30 | 1.63x |
| 17263 | Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs | 427 | $62.6K | $146.70 | 1.52x |
| 11602 | Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs | 366 | $36.3K | $99.06 | 2.97x |
| 17110 | Destruction of up to 14 skin growths | 365 | $30.6K | $83.75 | 1.52x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 122 | $27.3K | $223.78 | 1.73x |
| 11302 | Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs | 250 | $26.9K | $107.73 | 1.50x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. This is lower 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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