This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Medicare payments to this provider grew 53% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2016
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 | $218.18 | $105.09 | 2.08x | $113.09 | $524.8K | 10.9K | 3.9K |
| 2015 | $216.80 | $102.59 | 2.11x | $114.21 | $449.3K | 10.2K | 3.7K |
| 2016 | $324.16 | $147.52 | 2.20x | $176.64 | $727.0K | 11.2K | 4.9K |
| 2017 | $320.36 | $138.67 | 2.31x | $181.69 | $925.0K | 12.8K | 6.3K |
| 2018 | $329.50 | $140.14 | 2.35x | $189.36 | $834.4K | 11.4K | 5.9K |
| 2019 | $341.12 | $129.88 | 2.63x | $211.24 | $867.3K | 11.2K | 5.7K |
| 2020 | $253.02 | $93.76 | 2.70x | $159.26 | $574.7K | 8.3K | 4.1K |
| 2021 | $271.91 | $118.67 | 2.29x | $153.24 | $743.6K | 9.4K | 4.7K |
| 2022 | $285.67 | $122.80 | 2.33x | $162.87 | $762.1K | 9.6K | 4.7K |
| 2023 | $356.44 | $160.02 | 2.23x | $196.42 | $805.0K | 10.0K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.4K | $1.1M | $74.60 | 2.01x |
| 17000 | Destruction of skin growth | 17.8K | $901.4K | $50.73 | 2.56x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 2.4K | $710.9K | $291.95 | 1.53x |
| 96921 | Laser treatment (250 to 500 sq centimeters) for inflammatory skin disease | 4.1K | $666.6K | $162.03 | 3.55x |
| 96574 | Application of light and light-sensitive drugs following removal of premalignant thickened skin growth, per day | 2.3K | $575.8K | $255.82 | 1.95x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 13.2K | $528.7K | $40.03 | 1.88x |
| 11100 | Biopsy of single growth of skin and/or tissue | 4.0K | $372.3K | $93.23 | 2.30x |
| 11102 | Tangential biopsy of single skin lesion | 3.0K | $274.4K | $92.84 | 6.18x |
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 316 | $197.4K | $624.64 | 1.92x |
| 17004 | Destruction of 15 or more skin growths | 1.2K | $181.6K | $146.84 | 3.75x |
| 10061 | Drainage of multiple abscess | 765 | $149.1K | $194.84 | 1.92x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $141.6K | $101.29 | 2.22x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 1.1K | $140.7K | $127.77 | 2.74x |
| 11900 | Injection of up to 7 skin growths | 3.7K | $120.6K | $32.74 | 2.90x |
| 17003 | Destruction of 2-14 skin growths | 15.9K | $98.4K | $6.18 | 7.29x |
| 10060 | Drainage of abscess | 820 | $91.3K | $111.39 | 2.25x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 148 | $86.7K | $585.64 | 2.05x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 206 | $76.8K | $372.87 | 1.74x |
| 11901 | Injection of more than 7 skin growths | 1.4K | $63.2K | $43.83 | 3.42x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1.8K | $59.8K | $33.65 | 5.94x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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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