This provider's $11.0M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 74% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $259.27 | $111.84 | 2.32x | $147.43 | $1.9M | 21.7K | 9.2K |
| 2015 | $242.94 | $106.79 | 2.27x | $136.15 | $1.9M | 22.8K | 10.9K |
| 2016 | $256.15 | $110.16 | 2.33x | $145.99 | $2.1M | 22.4K | 10.1K |
| 2017 | $289.44 | $105.64 | 2.74x | $183.80 | $500.4K | 10.3K | 5.5K |
| 2018 | $380.17 | $129.30 | 2.94x | $250.87 | $515.0K | 6.9K | 3.3K |
| 2019 | $405.57 | $145.17 | 2.79x | $260.40 | $510.0K | 6.3K | 3.1K |
| 2020 | $304.09 | $117.94 | 2.58x | $186.15 | $503.9K | 5.1K | 3.5K |
| 2021 | $588.72 | $121.04 | 4.86x | $467.68 | $665.3K | 5.4K | 3.4K |
| 2022 | $782.63 | $133.49 | 5.86x | $649.14 | $1.2M | 11.4K | 4.6K |
| 2023 | $816.07 | $131.14 | 6.22x | $684.93 | $1.3M | 11.4K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G6003 | Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5mev | 13.3K | $1.5M | $116.34 | 2.02x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 2.3K | $1.1M | $478.53 | 3.27x |
| 77280 | Management of radiation therapy simulation, simple | 5.2K | $1.0M | $194.00 | 4.09x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 19.0K | $861.7K | $45.37 | 2.51x |
| G6007 | Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5mev | 4.5K | $842.6K | $187.05 | 1.74x |
| 77427 | Radiation treatment management, 5 treatments | 5.5K | $747.8K | $136.95 | 1.83x |
| 77402 | Radiation treatment delivery, single treatment area | 7.0K | $665.8K | $94.63 | 2.48x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 5.2K | $657.7K | $126.55 | 1.91x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.9K | $551.7K | $291.00 | 3.10x |
| 77407 | Radiation treatment delivery, two treatment areas, 3 or more ports | 2.5K | $423.8K | $169.64 | 1.92x |
| 77401 | Radiation treatment delivery, superficial | 15.3K | $316.4K | $20.66 | 4.91x |
| 17000 | Destruction of skin growth | 7.6K | $233.9K | $30.63 | 4.86x |
| 17110 | Destruction of up to 14 skin growths | 3.4K | $225.8K | $65.82 | 2.92x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 456 | $201.5K | $441.99 | 2.99x |
| 17004 | Destruction of 15 or more skin growths | 1.9K | $192.2K | $98.60 | 3.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.4K | $173.7K | $26.99 | 2.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $155.1K | $55.37 | 3.30x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 859 | $152.4K | $177.46 | 6.68x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 372 | $102.9K | $276.72 | 2.86x |
| 77261 | Management of radiation therapy, simple | 1.6K | $85.7K | $55.07 | 1.82x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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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